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Contact Information

THOMAS R PETERSON, MD
140 PROSPECT AVE
SUITE 18
HACKENSACK, NJ07601
 Phone: 201-525-0500
 Fax: 201-525-1171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THOMAS R PETERSON · (Male)

NPI Number 1295800043
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA5194
  • NJ Medicaid 0154105
Hospital affiliation(s) Not Available
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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