Individual
DR. PETER EDWARD JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PRINCETON UNIVERSITY HEALTH SERVICES, PRINCETON, NJ 08544-0001
(609) 258-3141
(609) 258-1355
Mailing address
59 STOCKTON RD, KENDALL PARK, NJ 08824-1211
(732) 821-2716
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03500400
NJ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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