Individual
DR. ROBERT WILLIAM PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 605-1971
(410) 328-3530
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 605-1971
(410) 328-3530
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D24566
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
D24566
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350394-01
BLUE CROSS/BLUE SHIELD
MD
05
—
404751600
—
MD
Enumeration date
04/10/2006
Last updated
04/25/2011
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