Individual
DR. LARS-KRISTOFER NELSON PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2000
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
271039
NY
207P00000X
Emergency Medicine Physician
MA09905100
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA09905100
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
271039
NY
Other
Enumeration date
05/13/2010
Last updated
04/08/2019
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