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Individual

DR. PETER A. GRAPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
541 MAIN ST, SUITE 400, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1200
(781) 340-1610
Mailing address
541 MAIN ST, SUITE 400, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1200
(781) 340-1610

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46505
MA
207RC0000X
Cardiovascular Disease Physician
Primary
46505
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0036418
NEIGHBORHOOD HEALTH PLAN
MA
01
3046
HARVARD PILGRIM
MA
01
49093
FALLON COMMUNITY HEALTH
MA
05
6180191
MA
01
703699
TUFTS HEALTH PLAN
MA
01
J01041
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/15/2005
Last updated
01/15/2015
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