Provider Demographics
NPI:1346277886
Name:CHOO, PETER W (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:W
Last Name:CHOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:188 BROADWAY STE 1
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3862
Mailing Address - Country:US
Mailing Address - Phone:978-628-3939
Mailing Address - Fax:978-626-9494
Practice Address - Street 1:188 BROADWAY STE 1
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3862
Practice Address - Country:US
Practice Address - Phone:978-628-3939
Practice Address - Fax:978-626-9494
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-02-04
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Provider Licenses
StateLicense IDTaxonomies
MA57709207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ07206OtherBLUE CROSS
MAV759OtherHARVARD PILGRIM
MA3032191Medicaid
MA400382OtherTUFTS
MA0015347OtherNEIGHBORHOOD HEALTH
MAJ07206OtherBLUE CROSS
MAB74938Medicare UPIN