PETER LARSEN M.D. - NPI 1073768115 - Student in an Organized Health Care Education/Training Program in Burlington, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Peter Larsen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER LARSEN M.D. (NPI 1073768115) is an individual student in an organized health care education/training program in Burlington, Massachusetts, licensed in Massachusetts (236396) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1073768115

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePETER LARSENCredential: M.D.

Location Address41 MALL RDBurlington, MA 01805-0001

Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-5238 · Fax (781) 744-2930

Phone(781) 744-5238

Fax(781) 744-2930

Sole ProprietorNo

Enumeration DateNovember 17, 2008

✔ NPI 1073768115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MA · 236396

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

41 MALL RD, Burlington, MA 01805

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