Petersen, C Gerard

Petersen, C Gerard is an individual health care provider with primary practice located at 1250 S Cedar Crest Blvd Suite 205, Allentown PA 18103-6224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Petersen, C Gerard can be contacted via phone (610) 439-8856.

Contact Information

Primary practice address
1250 S Cedar Crest Blvd Suite 205 Allentown PA 18103-6224
Phone: (610) 439-8856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD073487L Pennsylvania

Profile Details

NPI number 1285684183
LBN Legal business name Petersen, C Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285684183 NPPES
Pennsylvania Other 50059765 CAPITAL BLUE CROSS

Popular Providers