Individual
PETER C. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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