Provider Demographics
NPI:1497953210
Name:HYNES, PETER JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:JAMES
Last Name:HYNES
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 1:2130 HIGHWAY 35
Mailing Address - Street 2:BLDG C SUITE 321
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1011
Mailing Address - Country:US
Mailing Address - Phone:732-974-6700
Mailing Address - Fax:732-974-6707
Practice Address - Street 1:2130 HIGHWAY 35
Practice Address - Street 2:BLDG C SUITE 321
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1011
Practice Address - Country:US
Practice Address - Phone:732-974-6700
Practice Address - Fax:732-974-6707
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08531000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease