Individual
DR. GREGORY N. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 SILVER ST, MIDDLETOWN, CT 06457
(860) 262-5868
(860) 262-5850
Mailing address
47 WALKLEY RD, WEST HARTFORD, CT 06119
(860) 262-5964
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036498
CT
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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