Individual
MR. PETER WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
270 MONTAUK AVE, NEW LONDON, CT 06320-4712
(860) 442-0072
(860) 442-2012
Mailing address
270 MONTAUK AVE, NEW LONDON, CT 06320-4712
(860) 442-0072
(860) 442-2012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8573
CT
363LF0000X
Family Nurse Practitioner
CNP151195
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8573
CT LIC
CT
Enumeration date
04/15/2016
Last updated
06/18/2020
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