Lydon, Peter Joseph

Lydon, Peter Joseph is an individual health care provider with primary practice located at 825 Washington St Suite 220, Norwood MA 02062-3441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lydon, Peter Joseph can be contacted via phone (508) 660-6080.

Contact Information

Primary practice address
825 Washington St Suite 220 Norwood MA 02062-3441
Phone: (508) 660-6080
Fax: (508) 543-3078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 52243 Massachusetts

Profile Details

NPI number 1801874532
LBN Legal business name Lydon, Peter Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jan 21st, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801874532 NPPES
Massachusetts Other 8081330 AETNA US HEALTHCARE
Massachusetts Other 1702006 AETNA US HEALTHCARE
Massachusetts Other 705041 AETNA US HEALTHCARE
Massachusetts Other 8613PCL AETNA US HEALTHCARE
Massachusetts Other M19130 AETNA US HEALTHCARE
Massachusetts MEDICAID 6178936 AETNA US HEALTHCARE

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