Individual
MR. PETER WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.R.N.
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
000036
CT
Other
Enumeration date
06/08/2006
Last updated
10/09/2015
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