Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD009482E | PA |
N | 111NI0900X | Internist | MD009482E | PA |
Y | 207RR0500X | Rheumatology | MD009482E | PA |
NPI | 1023071875 |
---|---|
Provider Name | Peter F. Pepe |
First Address | Boalsburg, PA 16827-1326 |
Second Address | State College, PA 16803-6706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 05/02/2013 |