Individual
PETER ALLEN BOGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6 BOW ST, WALTHAM, MA 02452-4807
(781) 891-9734
(781) 647-7940
Mailing address
6 BOW ST, WALTHAM, MA 02452-4807
(781) 891-9734
(781) 647-7940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
671
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1601539
—
MA
Enumeration date
11/10/2005
Last updated
01/15/2010
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