Individual
MARGARET RIDE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 BOYLSTON ST, EMERSON COLLEGE, BOSTON, MA 02116-4624
(617) 824-8666
(617) 824-7897
Mailing address
46 ROYAL ST, QUINCY, MA 02170-2112
(617) 770-1244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
191
MA
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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