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NPI Code Detail

MEDICARE: PETER CARPENTIERI

MEDICARE: PETER CARPENTIERI
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
1106H00000XMarriage & Family Therapist48482CA

General Provider Information

NPI Number : 1730371048
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER CARPENTIERI
Provider Business Mailing Address
First Line : 111 MYRTLE ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2525
Country : US
Telephone Number : 510-839-3800
Fax Number :
Provider Business Practice Location Address
First Line : 111 MYRTLE ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2525
Country : US
Telephone Number : 510-839-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2007
Last Update Date : 10/03/2009

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Directions to “ PETER CARPENTIERI ” Practice Location

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