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NPI Code Detail

MEDICARE: DR. PETER JOSEPH SENATORE JR. MD

MEDICARE: DR. PETER JOSEPH SENATORE JR. MD
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
1208600000XSurgery Physician25MA09377100NJ
2208C00000XColon & Rectal Surgery Physician25MA09377100NJ

General Provider Information

NPI Number : 1194719039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER JOSEPH SENATORE JR. MD
Provider Business Mailing Address
First Line : 1102 E CHESTNUT AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-5002
Country : US
Telephone Number : 856-213-6375
Fax Number : 856-213-6458
Provider Business Practice Location Address
First Line : 1505 W SHERMAN AVE STE B
Second Line :
City : VINELAND
State : NJ
Zip : 08360-7059
Country : US
Telephone Number : 856-641-8635
Fax Number : 856-641-8636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 09/20/2018

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