Individual
MR. CHRISTOPHER PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
28 LEESVILLE RD, MOODUS, CT 06469-1003
(860) 335-7806
Mailing address
28 LEESVILLE RD, MOODUS, CT 06469-1003
(860) 335-7806
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
095813
CT
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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