Healthcare Provider Details

I. General information

NPI: 1730229998
Provider Name (Legal Business Name): PETER MUZ, M.D.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 OLD ROAD TO 9 ACRE COR SUITE 630
CONCORD MA
01742-4181
US

IV. Provider business mailing address

131 OLD ROAD TO 9 ACRE COR SUITE 630
CONCORD MA
01742-4181
US

V. Phone/Fax

Practice location:
  • Phone: 978-369-3232
  • Fax: 978-369-6260
Mailing address:
  • Phone: 978-369-3232
  • Fax: 978-369-6260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number75553
License Number StateMA

VIII. Authorized Official

Name: DR. PETER MUZ
Title or Position: OWNER
Credential: M.D.
Phone: 978-369-3232