Individual
SUSAN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 SEYMOUR ST, SUITE 923, HARTFORD, CT 06106-5501
(860) 547-1876
(860) 520-1379
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000220
CT
Other
Enumeration date
09/13/2006
Last updated
01/23/2014
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