Petersen, Harald W
Petersen, Harald W is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Petersen, Harald W can be contacted via phone (732) 923-6540.Contact Information
Primary practice address
300 2Nd Ave
Long Branch NJ 07740-6303
Phone: (732) 923-6540
Fax: (732) 923-6536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA02201800 | New Jersey |
Profile Details
| NPI number | 1588613335 |
|---|---|
| LBN Legal business name | Petersen, Harald W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1588613335 | NPPES |
| New Jersey | MEDICAID | 2081300 |
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