Individual
DR. PETER M DISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 E 83RD ST, NEW YORK, NY 10028-0459
(212) 734-3444
(212) 734-0370
Mailing address
3 E 83RD ST, NEW YORK, NY 10028-0459
(212) 734-3444
(212) 734-0370
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
179238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01476195
—
NY
Enumeration date
01/31/2006
Last updated
08/30/2007
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