Individual
PETER DAVID PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 AMERICAN LEGION HWY, BOSTON, MA 02131-3908
(617) 469-8500
Mailing address
1505 COMMONWEALTH AVE UNIT 214, BOSTON, MA 02135-3605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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