Provider Demographics
NPI:1033572318
Name:UCCIFERRO, PETER M (DO)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:M
Last Name:UCCIFERRO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2500 MARYLAND RD STE 400
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1225
Mailing Address - Country:US
Mailing Address - Phone:215-481-4143
Mailing Address - Fax:215-481-6790
Practice Address - Street 1:118 WELSH RD UNIT A
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2242
Practice Address - Country:US
Practice Address - Phone:215-657-5200
Practice Address - Fax:215-657-8083
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-03
Last Update Date:2020-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS020476207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine