Individual
PETER H JUERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
136 SHERMAN AVE, SUITE 405, NEW HAVEN, CT 06511-5238
(203) 787-0117
(203) 777-3559
Mailing address
136 SHERMAN AVE, SUITE 405, NEW HAVEN, CT 06511-5238
(203) 787-0117
(203) 777-3559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000084
CT
Other
Enumeration date
09/19/2005
Last updated
10/13/2011
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