Provider Demographics
NPI:1649898784
Name:EGWOM, PETER (MD)
Entity type:Individual
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First Name:PETER
Middle Name:
Last Name:EGWOM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:NIH HEMATOLOGY/ONCOLOGY FELLOWSHIP PROGRAM
Mailing Address - Street 2:10 CENTER DRIVE, BUILDING 10, ROOM B2L312
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:202-412-1982
Mailing Address - Fax:240-541-4546
Practice Address - Street 1:NIH HEMATOLOGY/ONCOLOGY FELLOWSHIP PROGRAM
Practice Address - Street 2:10 CENTER DRIVE, BUILDING 10, ROOM B2L312
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:202-412-1982
Practice Address - Fax:240-541-4546
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2023-06-28
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Provider Licenses
StateLicense IDTaxonomies
MO2020020069207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine