Individual
JAMES G PETROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 HARRISON AVENUE, MOAKLEY SUITE 2100, BOSTON, MA 02118
(617) 414-8054
(617) 414-8055
Mailing address
170 MORTON ST, DOB 503, JAMAICA PLAIN, MA 02130-3735
(617) 971-3568
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
48543
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
48543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110053342A
—
MA
Enumeration date
04/06/2006
Last updated
02/29/2016
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