Individual
DR. HEIDI HABICHT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 WASHINGTON STREET, SOUTH ATTLEBORO, MA 02703
(508) 761-5650
(508) 761-9870
Mailing address
230 WASHINGTON STREET, SOUTH ATTLEBORO, MA 02703
(508) 761-5650
(508) 761-9870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
159941
MA
207Q00000X
Family Medicine Physician
MD11077
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020858
NEIGHBORHOOD HEALTHCARE
MA
01
—
159941
TUFTS HEALTH PLAN
RI
01
—
26483
RHODE ISLAND BLUE CROSS/
RI
05
—
3200302
—
MA
01
—
410071
BLUE CHIP
RI
01
—
711511
HARVARD HEALTHCARE
MA
05
—
HB53533
—
RI
01
—
J25000
MASS BLUE CROSS
MA
Enumeration date
07/19/2006
Last updated
09/06/2013
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