Healthcare Provider Details

I. General information

NPI: 1447800792
Provider Name (Legal Business Name): PETER M SHER, MD, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 S MAIN ST STE 6
HARDWICK VT
05843-7070
US

IV. Provider business mailing address

PO BOX 284
HARDWICK VT
05843-0284
US

V. Phone/Fax

Practice location:
  • Phone: 973-580-0426
  • Fax:
Mailing address:
  • Phone: 973-580-0426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER M SHER
Title or Position: OWNER
Credential: MD
Phone: 973-580-0426