Provider Demographics
NPI:1417167826
Name:SEYMOUR, PETER EDMUND (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:EDMUND
Last Name:SEYMOUR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 WALLACE BASHAW JR WAY
Mailing Address - Street 2:STE 3002
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:978-997-1550
Mailing Address - Fax:978-997-1552
Practice Address - Street 1:1 WALLACE BASHAW JR WAY
Practice Address - Street 2:STE 3002
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950
Practice Address - Country:US
Practice Address - Phone:978-997-1550
Practice Address - Fax:978-997-1552
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2010-08-16
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Provider Licenses
StateLicense IDTaxonomies
MA238393207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1417167826Medicare PIN