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Individual

DR. PETER Q. HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3301 ROUTE 66, BLDG B, STE 106, NEPTUNE, NJ 07753-2705
(732) 455-3870
(732) 455-3872
Mailing address
3301 ROUTE 66, BLDG B, STE 106, NEPTUNE, NJ 07753-2705
(732) 455-3870
(732) 455-3872

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA58629
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6253806
NJ
Enumeration date
01/25/2006
Last updated
02/26/2009
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