Individual
MR. PETER LLOYD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 OLD PARK LANE, SUITE 2, NEW MILFORD, CT 06776
(860) 355-3728
(860) 355-4253
Mailing address
1 OLD PARK LANE, SUITE 2, NEW MILFORD, CT 06776
(860) 355-3728
(860) 355-4253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000613
CT
174400000X
Specialist
025352
CT
207Q00000X
Family Medicine Physician
Primary
025352
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001253525
—
CT
Enumeration date
01/24/2006
Last updated
07/13/2010
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