Basic Information
| Provider Information | |||||||||
| NPI: | 1003142530 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FARRUGIA | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 340 ROUTE 34 STE 201 | ||||||||
| Address2: | |||||||||
| City: | COLTS NECK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077222434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324873636 | ||||||||
| FaxNumber: | 7324873635 | ||||||||
| Practice Location | |||||||||
| Address1: | 340 ROUTE 34 STE 201 | ||||||||
| Address2: | |||||||||
| City: | COLTS NECK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077222434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324873636 | ||||||||
| FaxNumber: | 7324873635 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2009 | ||||||||
| LastUpdateDate: | 10/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 25MA08938500 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.