Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 6264-851 | WI |
N | 111NI0900X | Internist | 6264-851 | WI |
Y | 207R00000X | Internist | 69316 | WI |
Y | 111NI0900X | Internist | 69316 | WI |
N | 207RR0500X | Rheumatology | MT219995 | PA |
NPI | 1124477179 |
---|---|
Provider Name | Dr. Jennifer Peugh |
First Address | Pittsburgh, PA 15213 |
Second Address | Pittsburgh, PA 15213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2016 |
Last Update Date | 09/07/2021 |