Individual
DR. DOLORES PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 E MAIN ST, SUITE 5, MOORESTOWN, NJ 08057-3032
(856) 727-0999
(856) 727-7997
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06096900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7270208
—
NJ
Enumeration date
06/02/2006
Last updated
04/04/2024
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