Provider Demographics
NPI:1871708990
Name:BUTLER, PETER WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:WILLIAM
Last Name:BUTLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15 STRAW AVE
Mailing Address - Street 2:SUITE 116, BROWN AREA
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1491
Mailing Address - Country:US
Mailing Address - Phone:413-582-0011
Mailing Address - Fax:413-582-0099
Practice Address - Street 1:15 STRAW AVE
Practice Address - Street 2:SUITE 116, BROWN AREA
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1491
Practice Address - Country:US
Practice Address - Phone:413-582-0011
Practice Address - Fax:413-582-0099
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA245287207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism