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Individual

PETER C. YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0820
(617) 774-0832
Mailing address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0820
(617) 774-0832

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
208685
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0027527
NEIGHBORHOOD HEALTH PLAN
MA
05
0185621
MA
01
208685
TUFTS HEALTH PLAN
MA
01
2403883-003
CIGNA
MA
01
400968
HARVARD PILGRIM
MA
01
J23050
BLUE CROSS
MA
01
P00278138
MEDICARE RAILROAD
MA
Enumeration date
08/05/2006
Last updated
03/05/2021
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