Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD471258 | PA |
NPI | 1003296567 |
---|---|
Provider Name | Dr. Nathan D Peffer |
First Address | Philadelphia, PA 19182-0001 |
Second Address | Doylestown, PA 18901-2516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2015 |
Last Update Date | 28/10/2020 |