Healthcare Provider Details

I. General information

NPI: 1205007697
Provider Name (Legal Business Name): PETER A. VITERITTI, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2008
Last Update Date: 08/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 FIRST ST SUITE 1800
CAMBRIDGE MA
02142-1200
US

IV. Provider business mailing address

82 PALOMINO LANE SUITE 501
BEDFORD NH
03110-6448
US

V. Phone/Fax

Practice location:
  • Phone: 617-444-8621
  • Fax: 617-444-8627
Mailing address:
  • Phone: 781-248-7096
  • Fax: 603-627-6021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number854
License Number StateMA

VIII. Authorized Official

Name: NORMA FOTI
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 781-248-7096