Individual
MR. BRIAN A PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
33 OVERLOOK RD, SUITE 305, SUMMIT, NJ 07901-3570
(908) 608-9610
(973) 233-9688
Mailing address
33 OVERLOOK RD, SUITE 305, SUMMIT, NJ 07901-3570
(908) 608-9610
(973) 233-9688
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00194900
NJ
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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