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Organization

PETER A. SMALL, M.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER ALAN SMALL M.D. (PRESIDENT)
(203) 259-7400
Entity
Organization

Contact information

Practice address
2119 POST RD, FAIRFIELD, CT 06824-5657
(203) 259-7400
(203) 259-1115
Mailing address
2119 POST RD, FAIRFIELD, CT 06824-5657
(203) 259-7400
(203) 259-1115

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
028063
CT

Other

Enumeration date
12/07/2011
Last updated
12/07/2011
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