Dr. Keith Hjalmar Jude Peterson
Dr. Keith Hjalmar Jude Peterson is a Nurse Practitioner in Hoboken, New Jersey. Qualified in 2020, 6 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 6
- Licensed in
- NJ
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
77 Park Ave Apt 127Hoboken, NJ 07030-7106
Phone: (973) 931-2812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 26NJ01064600 (NJ) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 26NR17689800 (NJ) |
Record details
| NPI number | 1275143562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 3, 2020 |
| Last updated in NPPES | November 26, 2020 |
| Certification date | November 26, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Medstar Medical Group Ii Llc — 3717 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Hoboken
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Chad Czarzasty
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Samantha Latham
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Cindy Liang
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Caroline Wolfenden, RN
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