Individual
DR. PETER J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
184 EAST ST, PLAINVILLE, CT 06062-2913
(860) 747-5766
(860) 747-2028
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 747-5766
(860) 747-2028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037834
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001378349
—
CT
05
—
004215324
—
CT
01
—
010037834CT02
BCBS N BCFP PROV ID
CT
01
—
01037834
CIGNA PROV ID
CT
01
—
037834
CONNECTICARE ID
CT
01
—
0V5889
HEALTH NET PROV ID
CT
01
—
1255448155
GHMC GROUP NPI ID
CT
01
—
2151393
CIGNA PROVIDER ID
CT
01
—
369674
WELLCARE MEDICARE
CT
01
—
P1853296
OXFORD PROV ID
CT
Enumeration date
06/27/2005
Last updated
07/09/2007
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