NPI | 1053471532 |
---|---|
Former Legal Business Name | BRUCE W PETERS DO PA |
Entity Type | Organization |
Authorized Contact | BRUCE W PETERS President 732-281-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NJ 25MB06567300) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2023-01-25 |