Individual
DR. CLAYTON ROSS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
62 QUEENSBERRY ST APT 404, BOSTON, MA 02215-5166
(978) 505-5676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
232158
MA
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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