Individual
PETER ELEUTHERIUS BAGLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
4678 DONALDSON DR, SAN DIEGO, CA 92109-3739
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1022967
MA
Other
Enumeration date
03/16/2018
Last updated
05/01/2025
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