Individual
PETER BORIE JENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
799 CONCORD AVE, CAMBRIDGE, MA 02138
(617) 491-1894
Mailing address
799 CONCORD AVE, CAMBRIDGE, MA 02138
(617) 491-1894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25673
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B11329
BLUE CROSS PROVIDER #
MA
Enumeration date
06/02/2006
Last updated
11/09/2007
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