person
Peter M. Reveno, MD
Diagnostic Radiology Physician in Boston, Massachusetts
NPI 1083601785

Peter M. Reveno is a Diagnostic Radiology Physician based in Boston, MA and is specialized in Diagnostic Radiology. Peter M. Reveno practices in Boston, MA and has the professional credentials of MD. The NPI Number for Peter M. Reveno is 1083601785 and holds a License No. 31950 (Massachusetts).

The current practice location address for Peter M. Reveno is 1153 Centre St, Boston, MA and can be reached out via phone at 617-983-7090 and via fax at 617-983-7091.

Location: 1153 Centre St, Boston, MA, 02130-3446
person
Provider Profile Details
NPI Number
1083601785
Provider Name
Peter M. Reveno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1153 Centre St, Boston, MA, 02130-3446
Phone Number
617-983-7090
Fax Number
617-983-7091
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D05045 01 MA BLUE CROSS/BLUE SHIELD
3134792 05 MA
713987 01 MA TUFTS HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
1153 Centre St
City
State
Zip
02130-3446
Phone Number
617-983-7090
Fax Number
617-983-7091
person
Provider Business Mailing Address Details
Address
1153 Centre St
City
State
Zip
02130-3446
Phone Number
617-983-7090
Fax Number
617-983-7091
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
31950 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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