MEDICARE: DR. PETER GARY HILL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	1120	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2081650	OTHER	MA	AETNA
3	35256	OTHER	MA	HARVARD PILGRIM
4	Y35786	OTHER	MA	BLUE CROSS
5	716286	OTHER	MA	TUFTS
6	P1483913	OTHER	MA	OXFORD
7	4400081	OTHER	MA	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1407852130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER GARY HILL D.C.

Provider Business Mailing Address
First Line	:	687 WELLESLEY ST
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1065
Country	:	US
Telephone Number	:	781-772-2500
Fax Number	:	781-772-2500

Provider Business Practice Location Address
First Line	:	687 WELLESLEY ST
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1065
Country	:	US
Telephone Number	:	781-772-2500
Fax Number	:	781-772-2500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	03/17/2018

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