Organization
PETER E MASUCCI, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E MASUCCI MD (PRESIDENT)
(617) 389-2121
Entity
Organization
Contact information
Practice address
391 BROADWAY, SUITE 301, EVERETT, MA 02149-3470
(617) 389-2121
Mailing address
391 BROADWAY, SUITE 301, EVERETT, MA 02149-3470
(617) 389-2121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9717412
—
MA
Enumeration date
05/27/2006
Last updated
02/13/2012
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