Provider Demographics
NPI:1770563397
Name:NAPOLITANO, PETER G (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:G
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1305 SEQUALISH ST
Mailing Address - Street 2:
Mailing Address - City:STEILACOOM
Mailing Address - State:WA
Mailing Address - Zip Code:98388-2517
Mailing Address - Country:US
Mailing Address - Phone:253-581-0665
Mailing Address - Fax:253-968-5518
Practice Address - Street 1:BLDG 9040 FITZSIMMONS DRIVE
Practice Address - Street 2:MCHJ-OG ATTN: LTC NAPOLITANO, DEPT OBGYN MADIGAN AMC
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-3394
Practice Address - Fax:253-968-5518
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2014-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00033571207VM0101X
CAGFE72717207VM0101X
ME017273207VM0101X
IDM-11044207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine