Organization
PETER T HETZLER MD FACS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER T HETZLER MD (OWNER/PHYSICIAN)
(732) 219-0447
Entity
Organization
Contact information
Practice address
200 WHITE RD, SUITE 211, LITTLE SILVER, NJ 07739-1150
(732) 219-0447
Mailing address
200 WHITE RD, SUITE 211, LITTLE SILVER, NJ 07739-1150
(732) 219-0447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05342300
NJ
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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