Doctor Name: | MARGO PETERS |
NPI Number: | 1396700233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 26NR03289000 |
Business Practice Address: | 100 Hwy 36 Suite 2c West Long Branch, NJ - 077641453 |
Business Phone Number: | 7325710025 |
Business Fax Number: | 7325717868 |
Mailing Address: | 100 Hwy 36, Suite 2c WEST LONG BRANCH |
State: | NJ |
Postal Code: | 077641453 |
Phone Number: | 7325710025 |
Fax Number: | 7325717868 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | 26NR03289000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |