Individual provider · Type 1 NPI

Nicholas Peterson, MD

Colon & Rectal Surgery Physician · Philadelphia, PA

NPI number 1205493335 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Fax (215) 457-7602

Mailing address

PO Box 788735
Philadelphia, PA 19178-8735

Other practice locations

  • 1611 NW 12th Ave, Miami, FL 33136-1005 · (305) 325-5511

Specialties and licenses

TaxonomyCodeLicense
Colon & Rectal Surgery Physician Primary 208C00000XTRN40885 (FL)
Surgery Physician 208600000XMD490367 (PA)

Colon & Rectal Surgery Physician: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

829 other providers at this address

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About NPI 1205493335

Nicholas Peterson, MD's National Provider Identifier is 1205493335, issued on May 23, 2019. The primary taxonomy on file is Colon & Rectal Surgery Physician (208C00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 3, 2026.