Provider Demographics
NPI:1154388528
Name:NIGROVIC, PETER ANDRIJA (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:ANDRIJA
Last Name:NIGROVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6002
Mailing Address - Country:US
Mailing Address - Phone:857-307-0896
Mailing Address - Fax:
Practice Address - Street 1:ONE JIMMY FUND WAY
Practice Address - Street 2:RHEUMATOLOGY DIV SMITH BLDG ROOM 516C
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-525-1031
Practice Address - Fax:617-525-1010
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155108207RR0500X, 2080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology