Individual
DR. PETER C GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 SCOVILL STREET, SUITE 214, WATERBURY, CT 06706-1127
(203) 753-6004
(203) 755-3512
Mailing address
133 SCOVILL STREET, SUITE 214, WATERBURY, CT 06706-1127
(203) 753-6004
(203) 755-3512
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
021971
CT
2084N0400X
Neurology Physician
Primary
21971
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001219716
—
CT
Enumeration date
10/16/2006
Last updated
02/04/2019
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