Individual
PETER J FAGENHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
M.G.H.,DEPT. OF SURGERY, 55 FRUIT STREET, GRB 425, BOSTON, MA 02114
(617) 726-3000
Mailing address
17 BISHOP RICHARD ALLEN DR, CAMBRIDGE, MA 02139-3524
(617) 726-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
228955
MA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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