Individual
DR. JOHN W. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 BRIGGS RD, SUITE 250, MOUNT LAUREL, NJ 08054-4100
(856) 866-7466
(856) 866-9088
Mailing address
7 ROBERTS DR, WESTAMPTON, NJ 08060-4401
(609) 265-3975
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA48986
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5102201
—
NJ
Enumeration date
05/17/2006
Last updated
08/07/2024
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