Individual
DR. JENNIFER B PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-8173
(802) 888-8365
Mailing address
275 SANDWICH ST, C/O CATHY GREY, PLYMOUTH, MA 02360-2183
(508) 746-2000
(508) 830-2502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420011854
VT
207R00000X
Internal Medicine Physician
Primary
204818
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100862
—
MA
05
—
1016965
—
VT
01
—
409393
TUFTS HEALTH PLAN
MA
01
—
69997
HARVARD PILGRIM
MA
01
—
J22421
BCBSMA
MA
Enumeration date
01/05/2006
Last updated
07/18/2013
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