Individual
DR. VICTORIA PAMELA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 COMPUTER DR STE 301, WESTBOROUGH, MA 01581-1790
(617) 420-5316
Mailing address
780 CHESTNUT ST, STE 23, SPRINGFIELD, MA 01107-1610
(413) 787-2800
(413) 787-2822
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
76807
MA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
76807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032686
NEIGHBORHOOD HEALTH PLAN
—
01
—
0102423
EVERCARE
MA
01
—
0104426
EVERCARE
MA
01
—
18669
HEALTH NEW ENGLAND
—
01
—
3104435
MASSHEALTH MEDICAID
—
05
—
3104435
—
MA
01
—
3404310
AETNA HEALTH
—
01
—
380001597
RAILROAD MEDICARE
—
01
—
3964761
CIGNA HEALTHCARE
—
01
—
724714
CONNECTICARE
—
01
—
768880
TUFTS
—
01
—
DB0006
RAILROAD MEDICARE GRP #
—
01
—
J13325
BC BS OF MA
—
01
—
P00081931
RAILROAD MEDICARE PIN #
—
Enumeration date
01/31/2006
Last updated
01/03/2020
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