Individual
DR. SCOTT MARTIN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2500
Mailing address
2150 PENNSYLVANIA AVE NW, DEPARTMENT OBGYN, WASHINGTON, DC 20037-3201
(202) 741-2500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D60032
MD
207VM0101X
Maternal & Fetal Medicine Physician
0101273619
VA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD045745
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402783300
—
MD
Enumeration date
06/09/2006
Last updated
11/19/2021
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