Most Relevant Information
Provider Data
| NPI Number: | 1003302456 |
| Provider Name: | PETER SIDHOM DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 290501 |
Most Important Dates
| Enumeration Date: | 07/09/2018 |
| Last Updated: | 07/16/2024 |
Provider Practice Location
800 WASHINGTON ST
BOSTON
MA
021111552
Practice Location Phone/Fax
| Phone: | 6035602276 |
| Fax: |
Provider Mailing Location
800 WASHINGTON ST
BOSTON
MA
021111552
Provider Mailing Phone/Fax
| Phone: | 6035602276 |
| Fax: |