Individual
PETER P LACAMERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST., PULMONARY, BOSTON, MA 02135-2907
(617) 789-2545
(617) 779-6991
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
(617) 789-2545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
160330
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
160330
MA
207RP1001X
Pulmonary Disease Physician
Primary
160330
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160330
TUFTS
MA
05
—
2081504
—
MA
01
—
J23030
BC/BS
MA
Enumeration date
06/13/2006
Last updated
03/17/2025
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