Individual
DR. PETER TEBET GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 2ND AVE, MASS GENERAL WEST MEDICAL GROUP STE 400, WALTHAM, MA 02451-1137
(781) 487-4340
(781) 487-4341
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(781) 487-4340
(781) 487-4341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44159
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044159
TUFTS HEALTH PLAN
MA
05
—
6164595
—
MA
01
—
B51049
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
06/05/2014
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