Individual
PETER BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 DAVID DR, MERIDEN, CT 06450-4605
(203) 238-7784
Mailing address
119 DAVID DR, MERIDEN, CT 06450-4605
(203) 238-7784
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013825
CT
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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