Organization
PETER S. DIXON, M.D, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER S DIXON M.D. (OWNER)
(860) 767-1200
Entity
Organization
Contact information
Practice address
192 WESTBROOK RD, ESSEX, CT 06426-1511
(860) 767-1200
(860) 767-3031
Mailing address
192 WESTBROOK RD, ESSEX, CT 06426-1511
(860) 767-1200
(860) 767-3031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33140
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001331404
—
CT
01
—
010033140CT03
ANTHEM BCBS
CT
01
—
050463
CONNECTICARE
CT
01
—
0V1563
HEALTHNET
CT
01
—
1944670005
CIGNA
CT
01
—
4407476
AETNA
CT
01
—
830005333
RAILROAD MEDICARE
CT
01
—
P500468
OXFORD
CT
Enumeration date
07/26/2006
Last updated
05/20/2015
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