Individual
PETER GALIWANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 STATION LNDG APT 431W, MEDFORD, MA 02155-5031
(978) 489-8380
Mailing address
1094 WORCESTER RD, FRAMINGHAM, MA 01702-5255
(508) 661-2020
(508) 661-2024
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN2378862
MA
2084P0804X
Child & Adolescent Psychiatry Physician
RN2378862
MA
Other
Enumeration date
06/03/2024
Last updated
09/12/2024
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