Peter Roald Bergethon M.D.

NPI 1043265333 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1043265333
Gender Male
Enumeration Date 05/24/2006
Last Updated 12/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
750 WASHINGTON ST
TUFTS-NEW ENGLAND MEDICAL CENTER #314
BOSTON MA, 02111-1526, US
Phone (617) 636-5848
Fax (617) 636-8199
Business Location
5 BRETTON RD
DOVER MA, 02030-2503, US
Phone (617) 638-4108
Fax (617) 638-4216
Toxanomy
Taxonomy Code 2084N0400X
License State Massachusetts
License Number 55896
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According to our database, Dr. Peter Roald Bergethon M.D. NPI is 1043265333, taxonomy code is 2084N0400X and license number is 55896, license state is located at Massachusetts. Peter Roald Bergethon M.D. physically located at 750 Washington St, Boston MA, 02111-1526. NPI Number Peter Roald Bergethon M.D. has the Individual type.

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1043265333 NPI number is provided on an as is basis without warranty of any kind. 1043265333 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Roald Bergethon M.D. are for informational purposes only.