| Doctor Name: | CYNTHIA MARIE PETERMANN |
| NPI Number: | 1033399134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 26NO07859600 |
| Business Practice Address: | 665 Martinsville Rd Basking Ridge, NJ - 079204700 |
| Business Phone Number: | 9086071877 |
| Business Fax Number: | |
| Mailing Address: | 20 Burnett Brook Drive, 4th Floor MENDHAM |
| State: | NJ |
| Postal Code: | 07945 |
| Phone Number: | 9735435881 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2007 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NO07859600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |