Individual
DR. PETER C PAICOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3 WOODLAND RD, S-411, STONEHAM, MA 02180-1702
(781) 979-0919
Mailing address
4 ORCHARD ST, BYFIELD, MA 01922-1601
(781) 760-4096
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1860
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0371824001
PAL
MA
01
—
2704470
HCVM
MA
01
—
33199
HARVARD PILGRIM
MA
01
—
67220
HEALTH SOURCE
MA
01
—
710674
TUFTS INDIVIDUAL
MA
01
—
720289
TUFTS GROUP
MA
01
—
87831
AETNA
MA
01
—
B20539501
CIGNA
MA
01
—
Y70874
BCBSMA
MA
01
—
Y77137
BCBSMA GROUP
MA
Enumeration date
07/08/2006
Last updated
07/09/2007
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