Individual
MR. PETER IREMAR SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 547-5501
Mailing address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 547-5501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
262017
MA
363LG0600X
Gerontology Nurse Practitioner
262017
MA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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