Provider Demographics
NPI:1396782009
Name:LIND, PETER T (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:T
Last Name:LIND
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 1:908 W FALMOUTH HWY
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2118
Mailing Address - Country:US
Mailing Address - Phone:508-540-1801
Mailing Address - Fax:
Practice Address - Street 1:2 BRAMBLEBUSH PARK
Practice Address - Street 2:FALMOUTH PEDIATRIC ASSOCIATES
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2325
Practice Address - Country:US
Practice Address - Phone:508-540-1801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207520208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics