Mr Peter Winsor Pruyn, EDM, MA - Counselor in Cambridge, MA

Mr Peter Winsor Pruyn, EDM, MA is a Counselor - Addiction (substance Use Disorder) based in Cambridge, Massachusetts. Mr Peter Winsor Pruyn is licensed to practice in * (Not Available) (license number ) and his current practice location is 6 Tremont St # 2, Cambridge, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 492-1020.

NPI number for Mr Peter Winsor Pruyn is 1568804581 and his current mailing address is 6 Tremont St # 2, Cambridge, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568804581.

Contact Information

Mr Peter Winsor Pruyn, EDM, MA
6 Tremont St # 2,
Cambridge, MA 02139-1223
(617) 492-1020
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Peter Winsor Pruyn
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location6 Tremont St # 2, Cambridge, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568804581
  • Provider Enumeration Date: 07/18/2013
  • Last Update Date: 07/18/2013

Medical Identifiers

Medical identifiers for Mr Peter Winsor Pruyn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568804581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Peter Winsor Pruyn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Peter Winsor Pruyn, EDM, MA
6 Tremont St # 2,
Cambridge, MA 02139-1223

Ph: (617) 492-1020
Mr Peter Winsor Pruyn, EDM, MA
6 Tremont St # 2,
Cambridge, MA 02139-1223

Ph: (617) 492-1020

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