Individual
NANCY CASTELLUCCI PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
281 ROUTE 34, SUITE 813, COLTS NECK, NJ 07722-2439
(732) 431-2620
(732) 431-3707
Mailing address
281 ROUTE 34, SUITE 813, COLTS NECK, NJ 07722-2439
(732) 431-2620
(732) 431-3707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA66367
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312142
—
NJ
Enumeration date
10/13/2006
Last updated
08/28/2013
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