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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EMILY ANN PETERSON, MD

Active

DR. EMILY ANN PETERSON, MD is a Plastic and Reconstructive Surgery healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1306019328 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · STATE COLLEGE, PA

Registration Details

NPI Number
1306019328
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2008 (18.362813755772 yrs)
Last Updated
Feb 4, 2020
Licenses
MD429105 (PA)
MD429105 (PA)

Practice Information

Address
100 RADNOR RD
SUITE 101
STATE COLLEGE, PA, 168017986
Browse PA providers · Browse ZIP 16801
Phone
8142317878
Fax
8142371034
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.