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Contact Information

TIM G PETERSON, MD
1415 TULANE AVE
NEW ORLEANS, LA70112-2600
 Phone: 504-988-2300
 Fax: 504-988-7389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for TIM G PETERSON · (Male)

NPI Number 1568618916
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2008
Last updated 02/24/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 020904
Hospital affiliation(s)
  • TULANE MEDICAL CENTER - (Acute Care)
    1415 TULANE AVE
    NEW ORLEANS, LA 70112
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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