Individual
MATTHEW PECULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1600 PROVIDENCE HWY UNIT 167, WALPOLE, MA 02081-2553
(508) 660-7949
Mailing address
1600 PROVIDENCE HWY UNIT 167, WALPOLE, MA 02081-2553
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2297450
MA
Other
Enumeration date
01/03/2018
Last updated
07/15/2020
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