Individual
MICHAEL PEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
560 HUNTINGTON AVE, BOSTON, MA 02115-5902
(617) 343-2837
Mailing address
560 HUNTINGTON AVE, BOSTON, MA 02115-5902
(617) 343-2837
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2306911
MA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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