Provider Demographics
NPI:1275607525
Name:HOPEWOOD, PETER S (MD)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:S
Last Name:HOPEWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:210 JONES ROAD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540
Mailing Address - Country:US
Mailing Address - Phone:508-540-9771
Mailing Address - Fax:508-540-3158
Practice Address - Street 1:210 JONES RD
Practice Address - Street 2:SUITE 25
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540
Practice Address - Country:US
Practice Address - Phone:508-540-9771
Practice Address - Fax:508-540-3158
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA44062208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0150924Medicaid
1700019OtherUNITED HEALTH CARE
MA29249OtherHPHC
720952OtherTUFTS
MAB48181OtherBCBS
720952OtherTUFTS
1700019OtherUNITED HEALTH CARE