Individual
PETER JOSEPH CALKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
907 SUMNER ST, SUITE M201, STOUGHTON, MA 02072-3374
(781) 344-2325
(781) 341-8544
Mailing address
907 SUMNER ST, SUITE M201, STOUGHTON, MA 02072-3374
(781) 344-2325
(781) 341-8544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
204105
MA
207L00000X
Anesthesiology Physician
228536
MA
207L00000X
Anesthesiology Physician
Primary
5101019121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550900704
BCBS
MI
05
—
1003025362
—
MI
01
—
P00936959
RAILROAD MEDICARE
MI
Enumeration date
05/22/2007
Last updated
02/22/2012
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