Individual
ALYSSA PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 2, BOSTON, MA 02118
(617) 414-7399
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267763
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
278152
MA
Other
Enumeration date
06/21/2016
Last updated
01/03/2022
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