Provider Demographics
NPI:1881873362
Name:PIRETTI, PETER LUKE (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:LUKE
Last Name:PIRETTI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-5116
Mailing Address - Country:US
Mailing Address - Phone:617-536-9119
Mailing Address - Fax:617-536-9177
Practice Address - Street 1:304 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-5116
Practice Address - Country:US
Practice Address - Phone:617-536-9119
Practice Address - Fax:617-536-9177
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001731111N00000X
MA3233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor