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Contact Information

GARY L PETERS, MD
123 SUMMER STREET
SUITE 320
WORCESTER, MA01608
 Phone: 508-368-3140
 Fax: 508-368-3143
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GARY L PETERS · (Male)

NPI # 1154306108
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2005
Last updated 11/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 46267
  • MA Medicaid 6196101
Hospital affiliation(s) Not Available
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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