Organization
PETER DEWIRE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER DEWIRE M.D. (M.D.)
(617) 376-2017
Entity
Organization
Contact information
Practice address
54 MILLER ST, 4TH FLOOR, QUINCY, MA 02169-4725
(617) 376-2017
Mailing address
54 MILLER ST, 4TH FLOOR, QUINCY, MA 02169-4725
(617) 376-2017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9751980
—
MA
Enumeration date
02/09/2007
Last updated
09/10/2015
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