Search › Massachusetts › 363A00000X
Courtney Petersen, PA-C
NPI 1730184375 · on the registry since 2005 · sole proprietor
Practice
- Address
- 750 Washington St # 178
Tufts Medical Center
Boston, MA 02111 - Phone
- (617) 636-8200
- Fax
- (617) 636-7587
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- GA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts