Peter H Bagley
Pulmonary Disease
119 Belmont St Department Of Pulmonary Medicine
Worcester
, Massachusetts 01605
Peter H Bagley
Pulmonary Disease
119 Belmont St Department Of Pulmonary Medicine
Worcester
, Massachusetts 01605
(207) 777-8100
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Peter H Bagley
- Po Box 291
- Lewiston, ME
- Zip : 04243-0291
- Phone : (207) 777-8100
Second Address
- Peter H Bagley
- 119 Belmont St Department Of Pulmonary Medicine
- Worcester, MA
- Zip : 01605
- Phone : (508) 793-4900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RP1001X | Pulmonary Disease | 73375 | MA |
| Y | 207RP1001X | Pulmonary Disease | MD21833 | ME |
National Provider Identifier
| NPI | 1003899683 |
|---|---|
| Provider Name | Peter H Bagley |
| First Address | Lewiston, ME 04243-0291 |
| Second Address | Worcester, MA 01605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2005 |
| Last Update Date | 21/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3068315 | (05) | MA |
| B93594 | (02) | MA |
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.