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Individual

DR. PETER TERHAAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2626 W STATE ST, SUITE 700, OLEAN, NY 14760-1858
(716) 373-1590
(716) 373-9933
Mailing address
2626 W STATE ST, SUITE 700, OLEAN, NY 14760-1858
(716) 373-1590
(716) 373-9933

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
169205
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014825680007
PA
05
02282828
NY
01
200043583
RAILROAD MEDICARE
NY
01
200043584
RAILROAD MEDICARE
PA
Enumeration date
07/07/2005
Last updated
04/14/2010
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