Whalio Doctors

NPI 1164522629

Thomas R Peterson MD PC

Organisation Neurological Surgery Physician Hackensack, NJ

Practice location

Address
140 Prospect Ave Suite 18, Hackensack, NJ 07600
Phone
(201) 525-0500
Fax
(201) 525-1171

Authorised official

Name
Thomas R Peterson
Title
President
Phone
(201) 525-0500

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence MA5194 (NJ)

Registry record

NPI
1164522629
Entity type
Organization
NPI issued
25 Sep 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.