Individual
DR. BRUCE E PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, DEPT OF PATHOLOGY, NEW YORK, NY 10029-6500
(212) 659-8143
Mailing address
1 GUSTAVE L LEVY PL, DEPT OF PATHOLOGY, NEW YORK, NY 10029-6500
(212) 659-8143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
234652
NY
Other
Enumeration date
07/08/2008
Last updated
01/20/2012
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