National Provider Identifier
Walter Pegoli Jr.
Walter Pegoli Jr. is listed in the NPPES registry with a primary specialty of Pediatric Surgery Physician in Rochester, NY and a listed phone number of (585) 275-4435.
Source: public NPPES record, last updated June 30, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1114954252
- Provider Type
- Individual
- Primary Specialty
- Pediatric Surgery Physician
- Enumeration Date
- June 26, 2006
- Last Updated
- June 30, 2023
Practice Location
- 601 Elmwood Ave
- Box Surg
- Rochester, NY 14642-8410
Phone: (585) 275-4435
Specialties
- Pediatric Surgery Physician (2086S0120X)
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Biography
Walter Pegoli Jr. is a Rochester, New York pediatric surgeon. Publicly available directory information for him is limited, with the clearest supported detail being his pediatric surgery practice in the University of Rochester Medical Center area.
Full Record
- NPI
- 1114954252
- Entity Type
- Individual
- Last Name
- Pegoli
- First Name
- Walter
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box Surg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8410
- Mailing Country
- US
- Mailing Phone
- (585) 275-4435
- Mailing Fax
- (585) 273-1252
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-8410
- Practice Country
- US
- Practice Phone
- (585) 275-4435
- Practice Fax
- (585) 273-1252
- Enumeration Date
- June 26, 2006
- Last Updated
- June 30, 2023
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Pediatric Surgery Physician (2086S0120X)
- Other Identifiers
- 01741551 (NY)