Individual
NICHOLAS COLIN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4701 OGLETOWN STANTON RD, NEWARK, DE 19713-2055
(302) 623-4500
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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