Individual
THOMAS C PETER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
88 NORWICH NEW LONDON TPKE, SUITE #2, UNCASVILLE, CT 06382-2518
(860) 367-0087
(860) 367-0117
Mailing address
88 NORWICH NEW LONDON TPKE, SUITE #2, UNCASVILLE, CT 06382-2518
(860) 367-0087
(860) 367-0117
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
39485
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1394858
—
CT
Enumeration date
09/20/2005
Last updated
07/08/2007
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