Tiffany, Peter N

Tiffany, Peter N is an individual health care provider with primary practice located at 3 Woodland Rd Suite 216, Stoneham MA 02180-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Tiffany, Peter N can be contacted via phone (781) 979-0661.

Contact Information

Primary practice address
3 Woodland Rd Suite 216 Stoneham MA 02180-1702
Phone: (781) 979-0661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 54056 Massachusetts

Profile Details

NPI number 1780619700
LBN Legal business name Tiffany, Peter N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 9th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780619700 NPPES
Massachusetts MEDICAID 3119386
Massachusetts Other 340005509
Massachusetts Other J04258

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