Individual
DR. PETER ROALD BERGETHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, TUFTS-NEW ENGLAND MEDICAL CENTER #314, BOSTON, MA 02111-1526
(617) 636-5848
(617) 636-8199
Mailing address
5 BRETTON RD, DOVER, MA 02030-2503
(617) 638-4108
(617) 638-4216
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
55896
MA
Other
Enumeration date
05/24/2006
Last updated
12/01/2010
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