Individual
PETERSON MOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 EMBER LN, WILLINGBORO, NJ 08046-2422
(786) 362-4898
Mailing address
54 EMBER LN, WILLINGBORO, NJ 08046-2422
(786) 362-4898
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
NJDCATEMP-000600
NJ
Other
Enumeration date
04/05/2020
Last updated
04/05/2020
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