Individual
MAURICE ROBERT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 EAST 77TH STREET, LOWER LEVEL, NEW YORK, NY 10075-1912
(212) 369-9200
(212) 369-5048
Mailing address
170 EAST 77TH STREET, LOWER LEVEL, NEW YORK, NY 10075-1912
(212) 369-9200
(212) 369-5048
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
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