Provider Demographics
NPI:1134669450
Name:PEER TECHNOLOGIES PLLC
Entity Type:Organization
Organization Name:PEER TECHNOLOGIES PLLC
Other - Org Name:PEER CLINIC FOR BACK PAIN AND SPINE SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:MIRZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:603-727-6647
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-0204
Mailing Address - Country:US
Mailing Address - Phone:603-727-6647
Mailing Address - Fax:
Practice Address - Street 1:378 STONEY BROOK ROAD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NH
Practice Address - Zip Code:03284
Practice Address - Country:US
Practice Address - Phone:425-957-1159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14258207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty