Individual
ROBERT ALLEN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6401
(617) 730-0392
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6401
(617) 730-0392
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29077
MA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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