Mutter, Walter Peter
Mutter, Walter Peter is an individual health care provider with primary practice located at Newton Wellesley Physicians Nephrology Newton Wellesley Hospital, Green 460, Newton MA 20462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mutter, Walter Peter can be contacted via phone (617) 243-5420.Contact Information
Primary practice address
Newton Wellesley Physicians Nephrology Newton Wellesley Hospital, Green 460
Newton MA 20462
Phone: (617) 243-5420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 210130 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 210130 | Massachusetts |
Profile Details
| NPI number | 1104895556 |
|---|---|
| LBN Legal business name | Mutter, Walter Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | May 6th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104895556 | NPPES |
| Massachusetts | Other | J24722 | BLUE CROSS BLUE SHEILD |
| Massachusetts | Other | 5594198 | BLUE CROSS BLUE SHEILD |
| Massachusetts | Other | 693019 | BLUE CROSS BLUE SHEILD |
| Massachusetts | MEDICAID | 0167100 | BLUE CROSS BLUE SHEILD |
| Massachusetts | Other | 210130 | BLUE CROSS BLUE SHEILD |
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