Individual
DEBORAH M. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-4737
(860) 444-4775
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-4737
(860) 444-4775
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000645
CT
Other
Enumeration date
06/22/2009
Last updated
06/29/2010
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