Individual
DR. JOSEPH W PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-4739
(860) 442-0260
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-4739
(860) 442-0260
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
032833
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00132836
—
CT
Enumeration date
06/09/2006
Last updated
05/12/2010
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