Individual
PETER J TENICKI
Active
Individual
PETER J TENICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041551
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010041551CT01
ANTHEM BC/BS
CT
01
—
041551
CONNECTICARE
CT
01
—
2V4593
HEALTH NET
CT
01
—
3308535
AETNA - HMO
CT
01
—
473P62
EMPIRE BC/BS
CT
01
—
7267461
AETNA - PPO
CT
01
—
9441583
CIGNA
CT
01
—
P00074279
RAILROAD MEDICARE
CT
01
—
P3044450
OXFORD HEALTH PLAN
CT
01
—
TIN
GREAT WEST
—
Enumeration date
08/11/2006
Last updated
05/22/2008
Update your record
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