Individual
PETER M SHUTKIN
Active
Individual
PETER M SHUTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012542
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000121773201
UHC
—
01
—
00112542600
HUSKEY
—
01
—
01002542CT02
ANTHEM BC
—
01
—
4125199
AETNA
—
01
—
9519598002
CIGNA
—
01
—
ZPZ97
OXFORD
—
Enumeration date
11/21/2006
Last updated
07/08/2007
Update your record
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