Individual
DR. PETER T ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 LANCASTER ST, WORCESTER, MA 01609-2615
(508) 791-8484
(508) 791-1658
Mailing address
33 LANCASTER ST, WORCESTER, MA 01609-2615
(508) 791-8484
(508) 791-1658
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
75948
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075948
TUFTS ID
MA
01
—
151563
HARVARD PILGIM HP
MA
05
—
3101568
—
MA
01
—
44372
FALLONID
MA
01
—
489370
CIGNA ID
MA
01
—
753183220
GROUP TAX ID
MA
01
—
997577
NETWORK HEALTH ID
MA
01
—
J13064
BLUE SHIELD ID
MA
Enumeration date
08/16/2005
Last updated
12/01/2023
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