Individual
MR. PETER A. PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
42 VITTI ST, NEW CANAAN, CT 06840-4823
(203) 966-3076
Mailing address
145 SZOST DR, FAIRFIELD, CT 06824-4041
(203) 362-1241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5593
CT
Other
Enumeration date
11/04/2005
Last updated
07/23/2007
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