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NPI Code Detail

MEDICARE: DR. PETER TERHAAR D.O.

MEDICARE:  DR. PETER  TERHAAR  D.O.
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
1207X00000XOrthopaedic Surgery Physician169205NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200043584OTHERPARAILROAD MEDICARE
3200043583OTHERNYRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1184622821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER TERHAAR D.O.
Provider Business Mailing Address
First Line : 2626 W STATE ST
Second Line : SUITE 700
City : OLEAN
State : NY
Zip : 14760-1858
Country : US
Telephone Number : 716-373-1590
Fax Number : 716-373-9933
Provider Business Practice Location Address
First Line : 2626 W STATE ST
Second Line : SUITE 700
City : OLEAN
State : NY
Zip : 14760-1858
Country : US
Telephone Number : 716-373-1590
Fax Number : 716-373-9933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/14/2010

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Directions to “ DR. PETER TERHAAR D.O.” Practice Location

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