Individual
DR. NICHOLAS PEPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 HIGH ST, CHARLESTOWN HEALTHCARE CENTER, CHARLESTOWN, MA 02129-3026
(617) 724-8135
(617) 724-9334
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-8135
(617) 724-9334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73849
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073849
TUFTS HEALTH PLAN
MA
05
—
3077420
—
MA
01
—
J11718
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
02/14/2014
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