Individual
PETER D LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
172 MOUNT PLEASANT RD, NEWTOWN, CT 06470-1443
(203) 426-8442
(203) 270-7464
Mailing address
172 MOUNT PLEASANT RD, NEWTOWN, CT 06470-1443
(203) 426-8442
(203) 270-7464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017612
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001176122
—
CT
01
—
110227989
RAILROAD MEDICARE
—
Enumeration date
03/02/2006
Last updated
09/11/2012
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