Individual
PETER BURGESS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Mailing address
360 SHENIPSIT LAKE RD, TOLLAND, CT 06084-2025
(860) 870-8368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030177
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030177
LICENSE CT
CT
Enumeration date
01/04/2007
Last updated
03/07/2023
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