Individual
EDITH PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N MAIN ST, RANDOLPH, MA 02368-6700
(781) 885-0466
Mailing address
107 BEACONSFIELD RD, BROOKLINE, MA 02445-3302
(904) 415-6946
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49779
MA
2084P0800X
Psychiatry Physician
ME84097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6190782
—
MA
Enumeration date
10/04/2010
Last updated
06/13/2024
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