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Individual

PETER JOSEPH SWARTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
243 CHARLES ST., SUITE 264 MASSACHUSETTS EYE & EAR INFIRMARY, BOSTON, MA 02114-3096
(978) 521-5624
(978) 463-4962
Mailing address
P.O. BOX 514, W. NEWBURY, MA 01985
(978) 521-5624
(978) 463-4962

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
4996
MA
103TC0700X
Clinical Psychologist
Primary
4996
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0520411
MA
Enumeration date
02/28/2006
Last updated
08/05/2010
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