Provider Demographics
NPI:1265409650
Name:SCHLESINGER, PETER ALFRED (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:ALFRED
Last Name:SCHLESINGER
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 1:69 HAMPSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1555
Mailing Address - Country:US
Mailing Address - Phone:617-492-4893
Mailing Address - Fax:
Practice Address - Street 1:1000 CAMBRIDGE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1043
Practice Address - Country:US
Practice Address - Phone:617-876-1668
Practice Address - Fax:617-864-0666
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA40898207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA701622OtherTUFTS
MA75426OtherAETNA
MA04-01424OtherUNITED HEALTH CARE
MA80026OtherCIGNA
MA2083809Medicaid
MAM09570OtherBLUE CROSS BLUE SHIELD
MA60533OtherHARVARD PILGRIM
MAM09570OtherBLUE CROSS BLUE SHIELD
MAB98695Medicare UPIN