Individual
PETER DEWIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 MILLER ST, 4TH FLOOR, QUINCY, MA 02169-4725
(617) 376-2017
(617) 376-2043
Mailing address
54 MILLER ST, 4TH FLOOR, QUINCY, MA 02169-4725
(617) 376-2017
(617) 376-2043
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
58417
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058417
TUFTS
—
05
—
3070174
—
MA
Enumeration date
10/11/2005
Last updated
09/10/2015
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