Individual
DR. PETER SERENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 S MAIN ST, , CONNECTICUT 06110, WEST HARTFORD, CT 06110-1646
(860) 561-7111
Mailing address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 561-7111
(860) 561-7272
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
17048
CT
207R00000X
Internal Medicine Physician
Primary
17048
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215152855
NPI
CT
Enumeration date
04/17/2007
Last updated
01/13/2011
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