Individual
DR. PETER MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 MAIN ST, KINGSTON, MA 02364-1928
(781) 585-2172
Mailing address
214 MAIN ST, KINGSTON, MA 02364-1928
(781) 585-2172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54040
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6191118
—
MA
Enumeration date
11/27/2006
Last updated
03/11/2008
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