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Individual
PETER E MORNINGSTAR
Active
Individual
PETER E MORNINGSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016420
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023021
ANTHEM BLUE CROSS
ME
01
—
3566877
AETNA
ME
05
—
410210099
—
ME
Enumeration date
06/28/2005
Last updated
06/08/2011
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