Healthcare Provider Details

I. General information

NPI: 1053301184
Provider Name (Legal Business Name): PETER E TURNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 03/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 LAUREL OAK RD VOORHEES PEDIATRIC FACILITY
VOORHEES NJ
08043-4310
US

IV. Provider business mailing address

402 LIPPINCOTT DR
MARLTON NJ
08053-4112
US

V. Phone/Fax

Practice location:
  • Phone: 856-782-3300
  • Fax: 856-504-8029
Mailing address:
  • Phone: 856-782-3300
  • Fax: 856-504-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number25MA04064900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: