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PETER MICHAEL GDOVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2 CAPITAL WAY STE 456, PENNINGTON, NJ 08534-2521
(609) 537-7300
Mailing address
2 CAPITAL WAY STE 456, PENNINGTON, NJ 08534-2521
(609) 537-7300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00380500
NJ
363AM0700X
Medical Physician Assistant
MA058164
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00380500
NJ

Other

Enumeration date
10/15/2015
Last updated
10/03/2024
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