Individual
MR. PETER MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
283 HARTFORD AVE, WETHERSFIELD, CT 06109-1256
(860) 212-6353
Mailing address
283 HARTFORD AVE, WETHERSFIELD, CT 06109-1256
(860) 212-6353
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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