Peskin, Edward G

Peskin, Edward G is an individual health care provider with primary practice located at 119 Belmont St Department Of Obstetrics & Gynecology, Worcester MA 01605-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Peskin, Edward G can be contacted via phone (508) 334-6255.

Contact Information

Primary practice address
119 Belmont St Department Of Obstetrics & Gynecology Worcester MA 01605-2903
Phone: (508) 334-6255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 55189 Massachusetts

Profile Details

NPI number 1982685061
LBN Legal business name Peskin, Edward G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jan 22nd, 2010 - about 14 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 1982685061 NPPES
Massachusetts MEDICAID 3102823

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