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Individual

DR. NICHOLAS A PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
31 BAILEY AVE, RIDGEFIELD, CT 06877-4533
(203) 438-9609
Mailing address
31 BAILEY AVE, RIDGEFIELD, CT 06877-4533
(203) 438-9609

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001777
CT

Other

Enumeration date
09/05/2008
Last updated
02/04/2009
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