Ronald Gregory Peterson in Baltimore - Gynecology

Ronald Gregory Peterson - NPI 1174614457

Ronald Gregory Peterson is a Gynecology in Baltimore, Maryland. Ronald Gregory Peterson practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Ronald Gregory Peterson is 1174614457. The last update date is 2007-08-01.

Ronald Gregory Peterson's current location address is 6569 N Charles St, Baltimore, Maryland. You can contact this provider via phone number 4438492767. The mailing address for Ronald Gregory Peterson is 6569 N Charles St, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Gregory Peterson
Address 6569 N Charles St, Baltimore, Maryland
Phone Number 4438492767
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1174614457
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-08-01

Provider Mailing Address Detail

Address 6569 N Charles St
City Baltimore
State Maryland (MD)
Post Code 212046831
Phone Number 4438492767
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gynecology
Taxonomy 207Vg0400X
Licence No D09481
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
S140/0004 MD CAREFIRST REGIONAL
KJ43GY/346460-0 MD CAREFIRST MARYLAND

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FAQs about Ronald Gregory Peterson

What is the unique 10-digit identification code issued to Ronald Gregory Peterson by the Centers for Medicare & Medicaid Services?

The Ronald Gregory Peterson has been assigned the NPI (National Provider Identifier) 1174614457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Ronald Gregory Peterson is physically located?

The Ronald Gregory Peterson is physically situated at the following address: 6569 N Charles St, Baltimore, MD, 212046831.

What is the Ronald Gregory Peterson's specialty and taxonomy code?

The Ronald Gregory Peterson's specialty is Gynecology, and the corresponding taxonomy code is 207Vg0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174614457 to Ronald Gregory Peterson?

The Centers for Medicare & Medicaid Services originally issued the 1174614457 to Ronald Gregory Peterson on 2006-09-28.

As of what date was the information regarding Ronald Gregory Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ronald Gregory Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-01.

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