Provider Demographics
NPI:1972833655
Name:HERRIDGE, PETER LAMONT (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:LAMONT
Last Name:HERRIDGE
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:JOHNSON & JOHNSON
Mailing Address - Street 2:ONE JOHNSON & JOHNSON PLAZA
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08933-0001
Mailing Address - Country:US
Mailing Address - Phone:732-524-5352
Mailing Address - Fax:732-524-2134
Practice Address - Street 1:2815 FOX RUN DR
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-2734
Practice Address - Country:US
Practice Address - Phone:201-787-1637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-02
Last Update Date:2010-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04766700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist