Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calvin H Peterson, PAC

Individual provider Physician Assistant · NPI 1508845421

Calvin H Peterson, PAC is a Physician Assistant in Southbridge, Massachusetts. Licensed in Delaware and Massachusetts. Registered with an NPI since 2006.

Licensed in
DE, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

100 S St
Southbridge, MA 01550-4051
Phone: (508) 765-9771
Fax: (508) 764-2448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1146 (MA)
Physician Assistant Taxonomy 363A00000X · Licence C500000139 (DE)

Record details

NPI number1508845421
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESDecember 29, 2014
Mailing addressPo Box 40, Southbridge, MA 01550-0040

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