Provider Demographics
NPI:1972826873
Name:ALLEGHENY REGIONAL BONE AND JOINT SURGERY PC
Entity Type:Organization
Organization Name:ALLEGHENY REGIONAL BONE AND JOINT SURGERY PC
Other - Org Name:DR. PETER J TERHAAR, D.O.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:TERHAAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:716-373-1590
Mailing Address - Street 1:908 NIAGARA FALLS BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-2019
Mailing Address - Country:US
Mailing Address - Phone:716-692-3302
Mailing Address - Fax:
Practice Address - Street 1:2626 W STATE ST STE 700
Practice Address - Street 2:HOLIDAY PARK CENTRE
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1858
Practice Address - Country:US
Practice Address - Phone:716-373-1590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty