Individual
COLIN PETERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
318 CHRIS GAUPP DR, GALLOWAY, NJ 08205-4460
(609) 748-7300
(609) 748-7919
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB12188500
NJ
207R00000X
Internal Medicine Physician
OT017582
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB12188500
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MB12188500
NJ
Other
Enumeration date
04/13/2017
Last updated
10/08/2024
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