IndividualActive
Emily Peterson, MD
NPI 1306019328 · Plastic and Reconstructive Surgery Physician · State College, PA
Provider details
- NPI number
- 1306019328
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD429105 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 Radnor Rd
Suite 101
State College, PA 16801-7986
Phone: (814) 231-7878
Fax: (814) 237-1034
Approximate (ZIP-level) locationGet directions
Mailing address
100 Radnor Rd
State College, PA 16801-7986
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2020-02-04
- Certified
- 2020-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.