Individual
PETER OMONDI OCHIENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 726-3030
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
287561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750816963
—
MA
Enumeration date
04/25/2017
Last updated
05/23/2021
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