Individual
PETER C DAVIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 SHREWSBURY ST, SUITE 100, WORCESTER, MA 01604-4613
(508) 755-4861
(508) 752-1392
Mailing address
328 SHREWSBURY ST, SUITE 100, WORCESTER, MA 01604-4613
(508) 755-4861
(508) 752-1392
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
59428
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011217
NEIGHBORHOOD HEALTH
—
01
—
059428
TUFTS
—
01
—
130014
HARVARD PILGRIM
—
01
—
24872
FALLON
—
05
—
3058557
—
MA
01
—
98863803
NETWORK HEALTH
—
01
—
J09429
BCBS
MA
Enumeration date
06/21/2006
Last updated
11/30/2016
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