SearchNew Jersey156F00000X

Peter Statue, PHTC

NPI 1942891072 · on the registry since 2021 · sole proprietor

Practice

Address
500 Egg Harbor Rd
Sewell, NJ 08080
Phone
(856) 256-7812
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
156F00000X
156F00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-01

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