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Keith Peterson
NPI 1275143562 · on the registry since 2020 · sole proprietor
Practice
- Address
- 77 Park Ave Apt 127
Hoboken, NJ 07030 - Phone
- (973) 931-2812
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey