Individual
DAVID B. PETERSON
Active
Individual
DAVID B. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51297
MA
207R00000X
Internal Medicine Physician
Primary
51297
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033017
BMC HEALTH NET
MA
01
—
110198433
RAILROAD MEDICARE
MA
01
—
15373
HEALTHCARE NEW ENGLAND
MA
05
—
3054667
—
MA
01
—
PEJ07622
BLUE SHIELD
MA
Enumeration date
06/09/2006
Last updated
02/01/2023
Update your record
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