Search › Virginia › 207RE0101X
Timothy Petersen, M.D
NPI 1639468887 · on the registry since 2011 · sole proprietor
Practice
- Address
- 100 Constitution Dr
Ste 217
Va Beach, VA 23462 - Phone
- (757) 963-1488
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-30
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 Virginia