Provider Demographics
NPI:1376622548
Name:MARAN, PETER S (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:S
Last Name:MARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E 56TH ST, 14 FL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3699
Mailing Address - Country:US
Mailing Address - Phone:212-875-8897
Mailing Address - Fax:212-410-3507
Practice Address - Street 1:120 E 56TH ST, 14 FL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3699
Practice Address - Country:US
Practice Address - Phone:212-875-8897
Practice Address - Fax:212-410-3507
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY125177207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC11334Medicare ID - Type Unspecified