Individual
PETER G WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
366 COLT HWY, FARMINGTON, CT 06032-2547
(860) 409-0449
(860) 409-0551
Mailing address
366 COLT HWY, FARMINGTON, CT 06032-2547
(860) 409-0449
(860) 409-0551
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
025502
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255025
—
CT
Enumeration date
07/01/2005
Last updated
04/11/2012
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