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Contact Information

PETER S AMENTA, MD
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 508-334-0605
 Fax: 508-856-5074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER S AMENTA · (Male)

NPI Number 1447460985
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2007
Last updated 02/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 206952
  • LA License # MD.206952
  • MA License # 290789
  • PA License # MT188443
  • LA Medicaid 2363654
  • MS Medicaid 08829225
Hospital affiliation(s)
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
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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