| Doctor Name: | MR. MIGUEL AZEVEDO PEIXOTO |
| NPI Number: | 1083670764 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | 259834 |
| Business Practice Address: | 4 Courthouse Ln Suite 9 Chelmsford, MA - 018241728 |
| Business Phone Number: | 9784598400 |
| Business Fax Number: | |
| Mailing Address: | 4 Courthouse Ln, Suite 9 CHELMSFORD |
| State: | MA |
| Postal Code: | 018241728 |
| Phone Number: | 9784598400 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 259834 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |