| Doctor Name: | DR. PETER DREW WEARDEN |
| NPI Number: | 1215903372 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD,PHD |
| License Number: | MD422307 |
| Business Practice Address: | 13535 Nemours Pkwy Nemours Childrens Hospital Orlando, FL - 328277402 |
| Business Phone Number: | 4075674000 |
| Business Fax Number: | 4075675924 |
| Mailing Address: | Po Box 191, Provider Enrollment Department ROCKLAND |
| State: | DE |
| Postal Code: | 197320191 |
| Phone Number: | 3026516212 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD422307 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |