Individual
PETER DOUGLAS MANTELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 MILLERS FALLS RD, TURNERS FALLS, MA 01376-2250
(413) 835-1564
Mailing address
130 MILLERS FALLS RD, TURNERS FALLS, MA 01376-2250
(413) 835-1564
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175T00000X
CLINICAL AND SUPPORT OPTIONS
MA
Enumeration date
02/13/2020
Last updated
02/13/2020
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