Individual
DR. PETER EDWARD BENTIVEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 ANSEL HALLET RD, SUITE A, WEST YARMOUTH, MA 02673-2582
(508) 771-4263
(508) 771-7906
Mailing address
150 ANSEL HALLET RD, SUITE A, WEST YARMOUTH, MA 02673-2582
(508) 771-4263
(508) 771-7906
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
76228
MA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
76228
MA
2086S0105X
Surgery of the Hand (Surgery) Physician
76228
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
737491
TUFTS HEALTH PLANS
MA
01
—
AA58432
HARVARD PILGRIM
MA
01
—
J12891
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/13/2006
Last updated
02/11/2008
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