Peterson, Thomas R

Peterson, Thomas R is an individual health care provider with primary practice located at 140 Prospect Ave Suite 18, Hackensack NJ 07601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Peterson, Thomas R can be contacted via phone (201) 525-0500.

Contact Information

Primary practice address
140 Prospect Ave Suite 18 Hackensack NJ 07601
Phone: (201) 525-0500
Fax: (201) 525-1171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MA5194 New Jersey

Profile Details

NPI number 1295800043
LBN Legal business name Peterson, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295800043 NPPES
New Jersey MEDICAID 0154105

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