Augustinos, Peter
Augustinos, Peter is an individual health care provider with primary practice located at 1 Pearl St Suite 2700, Brockton MA 02301-2864. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Augustinos, Peter can be contacted via phone (508) 584-4104.Contact Information
Primary practice address
1 Pearl St Suite 2700
Brockton MA 02301-2864
Phone: (508) 584-4104
Fax: (508) 584-4105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 157481 | Massachusetts |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 157481 | Massachusetts |
Profile Details
NPI number | 1518936327 |
---|---|
LBN Legal business name | Augustinos, Peter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2006 |
Last updated | Dec 18th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518936327 | NPPES |
Massachusetts | MEDICAID | 164992 |
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