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Individual

PETER K KRIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000

Taxonomy

Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
10239
RI
2080S0010X
Pediatric Sports Medicine Physician
Primary
238310
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PK50725
RI
Enumeration date
09/30/2005
Last updated
08/15/2023
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