Organization
PETER LICHT M.D. & JENNIFER HOLLOWAY M.D LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DAVID LICHT M.D. (MEMBER)
(203) 426-8442
Entity
Organization
Contact information
Practice address
172 MOUNT PLEASANT RD, NEWTOWN, CT 06470-1443
(203) 426-8442
Mailing address
172 MOUNT PLEASANT RD, NEWTOWN, CT 06470-1443
(203) 426-8442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004260668
—
CT
01
—
DB9294
RAILROAD MEDICAR
CT
Enumeration date
04/23/2007
Last updated
10/18/2023
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