Greenspan, Peter Tebet
Greenspan, Peter Tebet is an individual health care provider with primary practice located at 40 2Nd Ave Mass General West Medical Group Ste 400, Waltham MA 02451-1137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Greenspan, Peter Tebet can be contacted via phone (781) 487-4340.Contact Information
Primary practice address
40 2Nd Ave Mass General West Medical Group Ste 400
Waltham MA 02451-1137
Phone: (781) 487-4340
Fax: (781) 487-4341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 44159 | Massachusetts |
Profile Details
| NPI number | 1295725885 |
|---|---|
| LBN Legal business name | Greenspan, Peter Tebet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jun 5th, 2014 - about 10 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 | 1295725885 | NPPES |
| Massachusetts | Other | B51049 | BCBS MA |
| Massachusetts | Other | 044159 | BCBS MA |
| Massachusetts | MEDICAID | 6164595 | BCBS MA |
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