Peter, Thomas C

Peter, Thomas C is an individual health care provider with primary practice located at 88 Norwich New London Tpke Suite #2, Uncasville CT 06382-2518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Peter, Thomas C can be contacted via phone (860) 367-0087.

Contact Information

Primary practice address
88 Norwich New London Tpke Suite #2 Uncasville CT 06382-2518
Fax: (860) 367-0117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 39485 Connecticut

Profile Details

NPI number 1952397549
LBN Legal business name Peter, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952397549 NPPES
Connecticut MEDICAID 1394858

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