Koch-Weser, Peter

Koch-Weser, Peter is an individual health care provider with primary practice located at 295 Varnum Street , Lynn MA 01904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Koch-Weser, Peter can be contacted via phone (781) 581-9200.

Contact Information

Primary practice address
295 Varnum Street Lynn MA 01904
Phone: (781) 581-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 39668 Massachusetts

Profile Details

NPI number 1881688729
LBN Legal business name Koch-Weser, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1881688729 NPPES
Massachusetts MEDICAID 2047403

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