Individual
DR. ROSS C PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 E 2ND ST FL 2, ERIE, PA 16507-1579
(814) 456-8980
(814) 451-0443
Mailing address
120 E 2ND ST FL 2, ERIE, PA 16507-1579
(814) 456-8980
(814) 451-0443
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
243305-01
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MD418758
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010580080002
—
PA
01
—
P00176037
RR MEDICARE
PA
Enumeration date
01/04/2006
Last updated
07/14/2026
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