Individual
DR. NILS H PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 YORK ST, LLCI 1000C, NEW HAVEN, CT 06510-3221
(203) 737-2051
Mailing address
100 GOLDEN HILL DR, GUILFORD, CT 06437-2198
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
53381
CT
Other
Enumeration date
03/25/2009
Last updated
10/23/2019
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