Basic Information
| Provider Information | |||||||||
| NPI: | 1972826873 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALLEGHENY REGIONAL BONE AND JOINT SURGERY PC | ||||||||
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| OtherOrganizationName: | DR. PETER J TERHAAR, D.O. | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 908 NIAGARA FALLS BLVD | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | NORTH TONAWANDA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 141202019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166923302 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2626 W STATE ST STE 700 | ||||||||
| Address2: | HOLIDAY PARK CENTRE | ||||||||
| City: | OLEAN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 147601858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7163731590 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2010 | ||||||||
| LastUpdateDate: | 09/24/2015 | ||||||||
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| AuthorizedOfficialLastName: | TERHAAR | ||||||||
| AuthorizedOfficialFirstName: | PETER | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7163731590 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.