Individual provider · Type 1 NPI
Peter M. Reveno, MD
Diagnostic Radiology Physician · Boston, MA
NPI number
1083601785
Active
Practice location
1153 Centre St, Radiology, Faulkner Hospital
Boston, MA 02130-3446
Fax (617) 983-7091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 31950 (MA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1083601785
Peter M. Reveno, MD's National Provider Identifier is 1083601785, issued on Sep 29, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Aug 10, 2007.