Individual
JOAN PEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 AUTUMN LN, NEW CANAAN, CT 06840-6346
(203) 972-0481
Mailing address
17 AUTUMN LN, NEW CANAAN, CT 06840-6346
(203) 972-0481
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
152546
NY
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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