Peterson, Nicholas

Peterson, Nicholas is an sole proprietor health care provider with primary practice located at 5501 Old York Rd , Philadelphia PA 19141-3018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Peterson, Nicholas can be contacted via phone (215) 457-4444.

Contact Information

Primary practice address
5501 Old York Rd Philadelphia PA 19141-3018
Phone: (215) 457-4444
Fax: (215) 457-7602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X TRN40885 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X MD490367 Pennsylvania

Profile Details

NPI number 1205493335
LBN Legal business name Peterson, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2019
Last updated Sep 3rd, 2026 - about 2 months 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.

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