Individual
DAVID B. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 W SILVER ST, WESTFIELD, MA 01085-3628
(413) 568-2811
(610) 834-2862
Mailing address
819 WORCESTER ST STE 1, SPRINGFIELD, MA 01151-1056
(413) 304-2501
(413) 789-0290
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
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