Peterson, Dolores

Peterson, Dolores is an sole proprietor health care provider with primary practice located at 701 E Main St Suite 5, Moorestown NJ 08057-3032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Peterson, Dolores can be contacted via phone (856) 727-0999.

Contact Information

Primary practice address
701 E Main St Suite 5 Moorestown NJ 08057-3032
Fax: (856) 727-7997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06096900 New Jersey

Profile Details

NPI number 1154369346
LBN Legal business name Peterson, Dolores
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Apr 4th, 2024 - about last year

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 1154369346 NPPES
New Jersey MEDICAID 7270208

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