Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 854 | MA |
NPI | 1235148446 |
---|---|
Provider Name | Dr. Peter A Viteritti |
First Address | Bedford, NH 03110-6448 |
Second Address | Bedford, NH 03110-6448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1238904 | UNITED HEALTHCARE (01) | |
7710611 | AETNA (01) | |
AA47502 | HARVARD PILGRIM (01) | MA |
Y39817 | BLUE CROSS BLUE SHIELD (01) | MA |