Basic Information
| Provider Information | |||||||||
| NPI: | 1568409175 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | GERMOND | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 BIG ROCK RD | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019441601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9787743400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 BIG ROCK RD | ||||||||
| Address2: | PETER B. GERMOND | ||||||||
| City: | MANCHESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019441601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9787743400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 31343 | MA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.