Petersen, Scott Martin

Petersen, Scott Martin is an individual health care provider with primary practice located at 2150 Pennsylvania Ave Nw , Washington DC 20037-3201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Petersen, Scott Martin can be contacted via phone (202) 741-2500.

Contact Information

Primary practice address
2150 Pennsylvania Ave Nw Washington DC 20037-3201
Phone: (202) 741-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 0101273619 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D60032 Maryland
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD045745 District of Columbia

Profile Details

NPI number 1275574519
LBN Legal business name Petersen, Scott Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 19th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275574519 NPPES
Maryland MEDICAID 402783300

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