Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-125390 | OH |
N | 111NI0900X | Internist | 35-125390 | OH |
N | 207R00000X | Internist | 54683 | TN |
N | 111NI0900X | Internist | 54683 | TN |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 285014 | MA |
NPI | 1003173592 |
---|---|
Provider Name | Dr. Peter Hsu |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2012 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0126184 | (05) | OH |