Individual
DR. PETER M MIRKIN
Active
Individual
DR. PETER M MIRKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
014555
ME
2084P0800X
Psychiatry Physician
020367
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014555
MAINE STATE LICENSE
ME
01
—
020367
CONNECTICUT STATE LICENSE
CT
Enumeration date
07/27/2009
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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