Peters, Dawn Marie
Peters, Dawn Marie is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peters, Dawn Marie can be contacted via phone (617) 629-6300.Contact Information
Primary practice address
40 Holland St
Somerville MA 02144-2705
Phone: (617) 629-6300
Fax: (617) 629-6090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 220721 | Massachusetts |
Profile Details
| NPI number | 1174599104 |
|---|---|
| LBN Legal business name | Peters, Dawn Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Feb 18th, 2021 - about 3 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 | 1174599104 | NPPES |
| Massachusetts | MEDICAID | 1211951 |
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