Individual
PETER SCOTT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
71 HAYNES ST., MANCHESTER, CT 06040-4188
(860) 646-1222
Mailing address
29 ICHABOD RD, SIMSBURY, CT 06070-2812
(860) 368-9764
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002144
CT
Other
Enumeration date
09/03/2008
Last updated
04/19/2012
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