Provider Demographics
NPI:1205007697
Name:PETER A. VITERITTI, P.C.
Entity Type:Organization
Organization Name:PETER A. VITERITTI, P.C.
Other - Org Name:PETER A. VITERITTI, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-248-7096
Mailing Address - Street 1:82 PALOMINO LANE
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6448
Mailing Address - Country:US
Mailing Address - Phone:781-248-7096
Mailing Address - Fax:603-627-6021
Practice Address - Street 1:245 FIRST ST
Practice Address - Street 2:SUITE 1800
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1200
Practice Address - Country:US
Practice Address - Phone:617-444-8621
Practice Address - Fax:617-444-8627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA854111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1238904OtherUNITED HEALTHCARE
7710611OtherAETNA
MAAA47502OtherHARVARD PILGRIM
MAY39817OtherBLUE CROSS BLUE SHIELD
MAVIY35612Medicare PIN