Individual
PETER A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
11 SOUTH RD STE 130, FARMINGTON, CT 06032-2483
(860) 224-5433
(860) 224-5933
Mailing address
85 SEYMOUR ST STE 415, HARTFORD, CT 06106-5523
(860) 246-2071
(860) 524-2650
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
001918
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548257090
—
CT
01
—
191800
CONNECTICARE
CT
Enumeration date
09/30/2005
Last updated
09/12/2025
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