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Individual

PETER C ROOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1372 BRUSH HILL RD H207, MILTON, MA 02186-2377
(508) 801-8330
(857) 345-9620
Mailing address
1372 BRUSH HILL RD H207, MILTON, MA 02186-2377
(508) 801-8330
(857) 345-9620

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32453
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0185191
MA
Enumeration date
09/20/2005
Last updated
11/18/2015
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