Individual
NEIL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
529 MAIN ST STE 100, CHARLESTOWN, MA 02129-1119
(617) 864-8140
Mailing address
529 MAIN ST STE 100, CHARLESTOWN, MA 02129-1119
(617) 864-8140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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