Mutter, Walter Peter
Mutter, Walter Peter is an individual health care provider with primary practice located at Newton Wellesley Physicians Nephrology Newton Wellesley Hospital, Green 460, Newton MA 20462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mutter, Walter Peter can be contacted via phone (617) 243-5420.Contact Information
Primary practice address
Newton Wellesley Physicians Nephrology Newton Wellesley Hospital, Green 460
Newton MA 20462
Phone: (617) 243-5420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 210130 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 210130 | Massachusetts |
Profile Details
| NPI number | 1104895556 |
|---|---|
| LBN Legal business name | Mutter, Walter Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | May 6th, 2016 - 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 | 1104895556 | NPPES |
| Massachusetts | Other | J24722 | BLUE CROSS BLUE SHEILD |
| Massachusetts | Other | 5594198 | BLUE CROSS BLUE SHEILD |
| Massachusetts | Other | 693019 | BLUE CROSS BLUE SHEILD |
| Massachusetts | MEDICAID | 0167100 | BLUE CROSS BLUE SHEILD |
| Massachusetts | Other | 210130 | BLUE CROSS BLUE SHEILD |
Popular Providers
-
Kornetsky, Kenneth M
406 Hospital Dr , Warrenton VA 20186-3026 -
Ferraro, James C.
6622 N 91St Ave Ste 200 , Glendale AZ 85305-2569 -
Laurel, Edgardo
2545 E Thomas Rd Suite 120, Phoenix AZ 85016-7969 -
Christov, Marta
2000 Washington St Ste 460 , Newton MA 02462-1627 -
Yager, Henry Martin
2014 Washington St , Newton MA 02462-1607 -
Lee, Sungchun
21410 N 19Th Ave Suite 131, Phoenix AZ 85027-2738 -
Falase, Ekundayo Adedapo
1612 Milstead Rd Ne Suite A, Conyers GA 30012-3738 -
Neuringer, Julia R
2014 Washington St. Newton/Wellesley-Nephrol, Newton MA 02461