Individual
LISA PEGGY ZYWOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-1000
Mailing address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
292203
MA
Other
Enumeration date
03/27/2018
Last updated
11/09/2022
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