Individual
DR. PETER T ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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