Individual
MR. PETER C ENZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
44 BINNEY ST, DANA-FARBER CANCER INST, BOSTON, MA 02115-6013
(617) 632-6855
(617) 632-5370
Mailing address
11 DANE ST, JAMAICA PLAIN, MA 02130
(617) 632-6855
(617) 632-5370
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
160952
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14930
HPHC
—
01
—
2533518
AETNA US HEALTHCARE
—
01
—
3147617
CIGNA
—
01
—
3197034
MASSHEALTH
MA
01
—
406922
TUFTS
—
01
—
51279
FALLON COMMUNITY HEALTH P
—
01
—
J21466
MASSACHUSETTS BCBS
—
Enumeration date
03/02/2006
Last updated
07/08/2007
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