Organization
DOUGLAS E. PETERSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS EDWARD PETERSON D.O. (ORTHOPEDIC SURGEON)
(978) 774-3400
Entity
Organization
Contact information
Practice address
4 STATE RD, DANVERS, MA 01923-2567
(978) 774-3400
(978) 774-5883
Mailing address
4 STATE RD, DANVERS, MA 01923-2567
(978) 774-3400
(978) 774-5883
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
153208
MA
Other
Enumeration date
10/10/2012
Last updated
12/14/2021
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