Individual
DR. CHARLES DAVID PETERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 EAST MOUNTAIN BLVD., WILKES-BARRE, PA 18711-3610
(570) 808-6020
(570) 808-2306
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD432806
PA
Other
Enumeration date
08/11/2005
Last updated
07/31/2020
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