Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MB06800600 | NJ |
N | 111NI0900X | Internist | 25MB06800600 | NJ |
Y | 207RP1001X | Pulmonary Disease | 25MB06800600 | NJ |
N | 207RS0012X | Sleep Medicine | 25MB068006000 | NJ |
NPI | 1053397356 |
---|---|
Provider Name | Dr. Peter Andrew Curreri |
First Address | Merchantville, NJ 08109-2031 |
Second Address | Merchantville, NJ 08109-2031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 09/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8610509 | (05) | NJ |
H30137 | (02) |