Individual
GEORGE PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
511 MONROE AVE, EDGEWATER PARK, NJ 08010-2131
(800) 950-6066
Mailing address
511 MONROE AVE, EDGEWATER PARK, NJ 08010-2131
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05959700
NJ
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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