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NPI Code Detail

MEDICARE: SAMARA PETERS DO

MEDICARE: SAMARA PETERS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician4540OK

General Provider Information

NPI Number : 1164600938
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMARA PETERS DO
Provider Business Mailing Address
First Line : 175 MADISON AVE
Second Line :
City : MOUNT HOLLY
State : NJ
Zip : 08060-2038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 175 MADISON AVE
Second Line :
City : MOUNT HOLLY
State : NJ
Zip : 08060-2038
Country : US
Telephone Number : 856-247-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2008
Last Update Date : 06/11/2026

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Directions to “ SAMARA PETERS DO” Practice Location

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