Dr. Peter Roald Bergethon
Neurologist
750 Washington St Tufts-New England Medical Center #314
Boston
, Massachusetts 02111-1526
Dr. Peter Roald Bergethon
Neurologist
750 Washington St Tufts-New England Medical Center #314
Boston
, Massachusetts 02111-1526
(617) 638-4216
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Peter Roald Bergethon
- 5 Bretton Rd
- Dover, MA
- Zip : 02030-2503
- Fax : (617) 638-4216
- Phone : (617) 638-4108
Second Address
- Dr. Peter Roald Bergethon
- 750 Washington St Tufts-New England Medical Center #314
- Boston, MA
- Zip : 02111-1526
- Fax : (617) 636-8199
- Phone : (617) 636-5848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 55896 | MA |
National Provider Identifier
| NPI | 1043265333 |
|---|---|
| Provider Name | Dr. Peter Roald Bergethon |
| First Address | Dover, MA 02030-2503 |
| Second Address | Boston, MA 02111-1526 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2006 |
| Last Update Date | 01/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.