Individual
PETER MORTENSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1622 LOCUST ST, PITTSBURGH, PA 15219-5924
(412) 530-5470
Mailing address
1622 LOCUST ST, PITTSBURGH, PA 15219-5924
(412) 530-5470
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
T0576
TX
207WX0109X
Neuro-ophthalmology Physician
Primary
MD489719
PA
Other
Enumeration date
04/11/2016
Last updated
05/16/2025
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