Mudge, Peter
Mudge, Peter is an individual health care provider with primary practice located at 48 Route 25A Suite 101, Smithtown NY 11787-1431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mudge, Peter can be contacted via phone (631) 862-3413.Contact Information
Primary practice address
48 Route 25A Suite 101
Smithtown NY 11787-1431
Phone: (631) 862-3413
Fax: (631) 862-3604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 097663-1 | New York |
Profile Details
| NPI number | 1407957269 |
|---|---|
| LBN Legal business name | Mudge, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407957269 | NPPES |
| New York | MEDICAID | 00368209 |
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