Individual
DR. NANCY RYAN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-8988
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5215
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
50947
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110039658A
—
MA
Enumeration date
09/26/2006
Last updated
10/24/2011
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