Provider Demographics
NPI:1437240389
Name:SPEERT, PETER K (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:K
Last Name:SPEERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:LAHEY CLINIC
Mailing Address - Street 2:41 MALL ROAD
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:781-744-8614
Mailing Address - Fax:781-744-2540
Practice Address - Street 1:LAHEY CLINIC
Practice Address - Street 2:41 MALL ROAD
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-0001
Practice Address - Country:US
Practice Address - Phone:781-744-8614
Practice Address - Fax:781-744-2540
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2016-03-15
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Provider Licenses
StateLicense IDTaxonomies
MA54636207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110066261AMedicaid
MA110066261AMedicaid
MAJ0440801Medicare PIN