Provider Demographics
NPI:1750436986
Name:LINDEN, PETER JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:JAMES
Last Name:LINDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SUTTON PL S
Mailing Address - Street 2:APT. 9-A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2471
Mailing Address - Country:US
Mailing Address - Phone:212-888-8535
Mailing Address - Fax:
Practice Address - Street 1:1 SUTTON PL S
Practice Address - Street 2:APT. 9-A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2471
Practice Address - Country:US
Practice Address - Phone:212-888-8535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107811-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery