National Provider Identifier Database

PEGGY MENTOR, MD – NPI #1023006525
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

PEGGY MENTOR, MD
940 BELMONT ST
BROCKTON, MA02301-5596
Phone: 857-364-4418
Fax: 774-826-3157
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for PEGGY MENTOR

NPI Number 1023006525
Credentials MD
Entity Individual
Enumeration date 10/10/2005
Last updated 03/21/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • CA License #: C53573
  • MA License #: 262150
  • CA Medicaid: 1023006525
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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