Individual
CHRISTINE L PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3850
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
220273
MA
2085R0202X
Diagnostic Radiology Physician
MD25614
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578554044
—
ME
01
—
2061350
MASSMEDICAID
—
Enumeration date
11/02/2005
Last updated
01/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us