Individual
MR. PETER JOSEPH HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
420 CENTRE ST, BOSTON, MA 02130
(617) 522-0879
Mailing address
420 CENTRE ST., BOSTON, MA 02130
(617) 522-0879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16195
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267546
—
MA
01
—
X05564
BC BS
—
Enumeration date
08/07/2008
Last updated
08/07/2008
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