Individual
PETER S HEDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15300
NH
208600000X
Surgery Physician
77020
MA
2086S0127X
Trauma Surgery Physician
Primary
15300
NH
2086S0127X
Trauma Surgery Physician
77020
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248030A
—
OK
05
—
32000857
—
NH
Enumeration date
09/27/2006
Last updated
12/05/2011
Update your record
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