Individual
NICHOLAS J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, BSBA
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(617) 755-9454
Mailing address
87 GREENOUGH ST, BROOKLINE, MA 02445-6152
(617) 232-2004
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
212864
MA
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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