Individual
WALTER PETER MUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NEWTON WELLESLEY PHYSICIANS NEPHROLOGY, NEWTON WELLESLEY HOSPITAL, GREEN 460, NEWTON, MA 20462
(617) 243-5420
Mailing address
NEWTON WELLESLEY HOSPITAL, GREEN 460, NEWTON WELLESLEY PHYSICIANS NEPHROLOGY, NEWTON, MA 20462
(617) 243-5420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
210130
MA
207RN0300X
Nephrology Physician
Primary
210130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167100
—
MA
01
—
210130
TUFTS HEALTH PLAN
MA
01
—
5594198
FIRST HEALTH
MA
01
—
693019
HARVARD PILGRIM HEALTHCAR
MA
01
—
J24722
BLUE CROSS BLUE SHEILD
MA
Enumeration date
03/17/2006
Last updated
05/06/2016
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