| Doctor Name: | DR. BECKY LYNN PETERSON |
| NPI Number: | 1063687614 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 29V100252800 |
| Business Practice Address: | 139 Piermont Rd Closter, NJ - 076241518 |
| Business Phone Number: | 2017677466 |
| Business Fax Number: | |
| Mailing Address: | 139 Piermont Rd, CLOSTER |
| State: | NJ |
| Postal Code: | 076241518 |
| Phone Number: | 2017677466 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2008 |
| NPI Last Update Date: | 04/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 29V100252800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |