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Organization

PETER DEWIRE MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER DEWIRE MD (OWNER)
(617) 376-2017
Entity
Organization

Contact information

Practice address
54 MILLER ST, 4TH FLOOR, QUINCY, MA 02169-4725
(617) 376-2017
(617) 376-2043
Mailing address
54 MILLER ST, 4TH FLOOR, QUINCY, MA 02169-4725
(617) 376-2017
(617) 376-2043

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
58417
MA

Other

Enumeration date
09/10/2015
Last updated
09/10/2015
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