Individual
DR. JEFFREY HAROLD PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-2725
(585) 275-8513
Mailing address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-2725
(585) 275-8513
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
232478
NY
2086S0102X
Surgical Critical Care Physician
Primary
232478
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
232478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02565162
—
NY
Enumeration date
06/27/2006
Last updated
11/05/2010
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