Individual
PETER NICLAS BROER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK STREET, T-209, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510
(203) 668-2259
Mailing address
233 MANSFIELD GROVE RD, EAST HAVEN, CT 06512-4804
(203) 606-5373
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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