Peterson, Maryann

Peterson, Maryann is an individual health care provider with primary practice located at 65 James St , Edison NJ 08820-3947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Peterson, Maryann can be contacted via phone (732) 321-7540.

Contact Information

Primary practice address
65 James St Edison NJ 08820-3947
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA04674700 New Jersey

Profile Details

NPI number 1801876297
LBN Legal business name Peterson, Maryann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 22nd, 2014 - about 10 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 1801876297 NPPES
New Jersey MEDICAID 1534408

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