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Individual

DR. ANDREA A PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2375
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2375

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
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