Individual provider · Type 1 NPI
Peter Galiwango
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Medford, MA
NPI number
1710728050
Active
Practice location
55 Station Lndg Apt 431W
Medford, MA 02155-5031
Mailing address
1094 Worcester Rd
Framingham, MA 01702-5255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | RN2378862 (MA) |
| Child & Adolescent Psychiatry Physician | 2084P0804X | RN2378862 (MA) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1710728050
Peter Galiwango's National Provider Identifier is 1710728050, issued on Jun 3, 2024. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Medford, MA. The record was last updated on Sep 12, 2024.