Organization
NORTHERN BARIATRIC SURGERY INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S. PETERS D.O. (PRESIDENT)
(570) 969-2527
Entity
Organization
Contact information
Practice address
1400 MAIN ST, MVH PROFESSIONAL SERVICES BLDG, PECKVILLE, PA 18452-2009
(570) 969-2527
Mailing address
114 REN ACRES, CLARKS SUMMIT, PA 18411-9415
(570) 969-2527
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS004198L
PA
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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