Peter M. Reveno M.D.

NPI 1083601785 - Radiology - 2085R0202X

NPI Details
NPI 1083601785
Gender Male
Enumeration Date 09/29/2005
Last Updated 08/10/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1153 CENTRE ST
RADIOLOGY, FAULKNER HOSPITAL
BOSTON MA, 02130-3446, US
Phone (617) 983-7090
Fax (617) 983-7091
Business Location
1153 CENTRE ST
RADIOLOGY, FAULKNER HOSPITAL
BOSTON MA, 02130-3446, US
Phone (617) 983-7090
Fax (617) 983-7091
Toxanomy
Taxonomy Code 2085R0202X
License State Massachusetts
License Number 31950
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According to our database, Peter M. Reveno M.D. NPI is 1083601785, taxonomy code is 2085R0202X and license number is 31950, license state is located at Massachusetts. Peter M. Reveno M.D. physically located at 1153 Centre St, Boston MA, 02130-3446. NPI Number Peter M. Reveno M.D. has the Individual type.

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1083601785 NPI number is provided on an as is basis without warranty of any kind. 1083601785 is maintained by the National Plan & Provider Enumeration System. The contents of Peter M. Reveno M.D. are for informational purposes only.