Provider Demographics
NPI:1568409175
Name:GERMOND, PETER B (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:B
Last Name:GERMOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BIG ROCK RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01944-1601
Mailing Address - Country:US
Mailing Address - Phone:978-774-3400
Mailing Address - Fax:
Practice Address - Street 1:1 BIG ROCK RD
Practice Address - Street 2:PETER B. GERMOND
Practice Address - City:MANCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01944-1601
Practice Address - Country:US
Practice Address - Phone:978-774-3400
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA31343207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery