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Seth C Petersen
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
NPI 1417410820

Seth C Petersen is a Student in an Organized Health Care Education/Training Program based in Omaha, NJ. Seth C Petersen practices in Hackensack, NJ. The NPI Number for Seth C Petersen is 1417410820 and holds a License No. (New Jersey).

The current practice location address for Seth C Petersen is 20 Prospect Ave Ste 409, Hackensack, NJ and can be reached out via phone at 551-996-3942 and via fax at 551-996-0978.

Location: 20 Prospect Ave Ste 409, Hackensack, NJ, 68102-3186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417410820
Provider Name
Seth C Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
20 Prospect Ave Ste 409, Hackensack, NJ, 68102-3186
Phone Number
551-996-3942
Fax Number
551-996-0978
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 Prospect Ave Ste 409
City
Hackensack
State
New Jersey
Zip
07601-1997
Phone Number
551-996-3942
Fax Number
551-996-0978
person
Provider Business Mailing Address Details
Address
20 Prospect Ave Ste 409
City
Hackensack
State
New Jersey
Zip
07601-1997
Phone Number
551-996-3942
Fax Number
551-996-0978
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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