Individual
MAURICE ROBERT PETERS
Active
Individual
MAURICE ROBERT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
044042
CT
2085R0202X
Diagnostic Radiology Physician
Primary
2300311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026716600001
—
PA
05
—
4599021 01
—
MD
Enumeration date
07/10/2006
Last updated
09/18/2012
Update your record
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