Individual
JOHN RAYMOND PETEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BROOKLINE PLACE, SUITE 502, BROOKLINE, MA 02445
(617) 278-0438
(617) 632-6136
Mailing address
75 FRANCIS STREET, BOSTON, MA 02115
(617) 278-0438
(617) 632-6136
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36970
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110037675
—
MA
Enumeration date
11/02/2005
Last updated
05/08/2020
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