Individual
DR. ANDREA A PETERSON
Active
Individual
DR. ANDREA A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
040602
CT
207R00000X
Internal Medicine Physician
Primary
040602
CT
208M00000X
Hospitalist Physician
40602
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001406025
—
CT
01
—
010040602CT01
ANTHEM B/C
CT
01
—
2254541
UHC
CT
01
—
2991975
AETNA
CT
01
—
40602
CONNECTICARE
CT
01
—
5565197
CIGNA
CT
01
—
OV2706
HEALTHNET
CT
01
—
P2718821
OXFORD
CT
Enumeration date
01/24/2006
Last updated
10/01/2008
Update your record
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