Individual
PETER RYAN COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6624
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6624
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
269970
MA
208000000X
Pediatrics Physician
272509
MA
Other
Enumeration date
04/17/2014
Last updated
07/21/2022
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