Provider Demographics
NPI:1013223767
Name:IRVING G. PEYSER M.D. FACS P.A.
Entity Type:Organization
Organization Name:IRVING G. PEYSER M.D. FACS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:PEYSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-334-0224
Mailing Address - Street 1:3699 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1049
Mailing Address - Country:US
Mailing Address - Phone:973-334-0224
Mailing Address - Fax:973-334-0208
Practice Address - Street 1:3699 ROUTE 46
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1049
Practice Address - Country:US
Practice Address - Phone:973-334-0224
Practice Address - Fax:973-334-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02760100208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty