Individual
PETER SEBASTIAN AMENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-0605
(508) 856-5074
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
206952
LA
207T00000X
Neurological Surgery Physician
Primary
290789
MA
207T00000X
Neurological Surgery Physician
MD.206952
LA
207T00000X
Neurological Surgery Physician
MT188443
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08829225
—
MS
05
—
2363654
—
LA
Enumeration date
05/23/2007
Last updated
02/10/2022
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