Individual
PETER STATUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHTC
Contact information
Practice address
500 EGG HARBOR RD, SEWELL, NJ 08080-2336
(856) 256-7812
Mailing address
340 CHRISTINA LN, WILLIAMSTOWN, NJ 08094-3600
(856) 889-8670
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
28RW00820400
NJ
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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