Everett, Peter C.

Everett, Peter C. is an individual health care provider with primary practice located at 830 Harrison Ave Moakley Building 3Rd Floor, Boston MA 02118-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Everett, Peter C. can be contacted via phone (617) 638-6428.

Contact Information

Primary practice address
830 Harrison Ave Moakley Building 3Rd Floor Boston MA 02118-2905
Fax: (617) 638-5756
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 252851 Massachusetts
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 252851 Massachusetts

Profile Details

NPI number 1144495375
LBN Legal business name Everett, Peter C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Aug 15th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144495375 NPPES
Massachusetts MEDICAID 110093459A

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