Individual
COURTNEY SLOCUM PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 WASHINGTON ST # 178, TUFTS MEDICAL CENTER, BOSTON, MA 02111-1526
(617) 636-8200
(617) 636-7587
Mailing address
57 E CONCORD ST, APT 3, BOSTON, MA 02118-1996
(770) 519-8108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004199
GA
363A00000X
Physician Assistant
Primary
2624
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000867701
MEDICARE
—
Enumeration date
06/20/2005
Last updated
01/14/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us