Individual
DR. JENNIFER B PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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