Doctor Name: | DR. PETER J JEREMIN |
NPI Number: | 1275625261 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 25MD0025000 |
Business Practice Address: | 1145 Bordentown Ave Parlin, NJ - 088591851 |
Business Phone Number: | 7327216553 |
Business Fax Number: | |
Mailing Address: | 1145 Bordentown Ave, PARLIN |
State: | NJ |
Postal Code: | 088591851 |
Phone Number: | 7327216553 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 25MD0025000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |