Whalio Doctors

NPI 1700811916

Jeffrey B Peterson, MD

Practitioner Pediatrics Physician Yarmouth, ME

Practice location

Address
259 Main Street, Yarmouth, ME 04096
Phone
(207) 846-9602
Fax
(207) 846-6714
Mailing address
100 Foden Road West Suite 203, South Portland, ME 04106

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 016870 (ME)

Registry record

NPI
1700811916
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jul 2006
Record last updated
21 Apr 2011

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.