Individual
PETER SHIMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 QUARRY RD, TRUMBULL, CT 06611-4874
(203) 696-6125
Mailing address
PO BOX 9135, BROOKLINE, MA 02446-9135
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
014936
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001149368
—
CT
01
—
0086989
AETNA CT
CT
01
—
061613357
CIGNA CT
CT
01
—
2069098
UNITED HEALTHCARE
CT
01
—
300124895
RAILROAD MEDICARE
CT
01
—
500HBX051CT01
BCBS CT
CT
01
—
ANC1162
OXFORD HEALTH PLANS
CT
01
—
OV9113
HEALTH NET
CT
Enumeration date
09/20/2005
Last updated
03/08/2010
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