Individual
PEYTON R DEARBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 E NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3500
Mailing address
PO BOX 48076, NEWARK, NJ 07101-4876
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06079200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8783209
—
NJ
Enumeration date
05/24/2005
Last updated
10/29/2008
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