Provider Demographics
NPI:1841524139
Name:PEER, JAMES HARRY (ATC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:HARRY
Last Name:PEER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2411
Mailing Address - Country:US
Mailing Address - Phone:973-727-8981
Mailing Address - Fax:
Practice Address - Street 1:400 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2184
Practice Address - Country:US
Practice Address - Phone:973-727-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0046602255A2300X
NJ25MT001647002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer