Individual
PATRICIA R PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 737-1058
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
55053
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2011
Last updated
05/02/2016
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