PETER ANDERSON NPI 1063611267

NPI Information

NPI: 1063611267
Provider Name: PETER ANDERSON

Other Name: NEW MILFORD FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1 OLD PARK LN
SUITE 2
NEW MILFORD, CT
ZIP 06776
Phone: (860) 355-3728
Get Directions

PETER ANDERSON is a family medicine in New Milford, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PETER ANDERSON NPI is 1063611267. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is New Milford Family Practice.

The provider's business location address is:

1 OLD PARK LN
SUITE 2
NEW MILFORD, CT
ZIP 06776-562
Phone: (860) 355-3728
Fax: (860) 355-4253

The provider's authorized official is Peter Lloyd Anderson .
The authorized official title is Pcp and has the following contact phone number (860) 355-3728.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	000613	CONNECTICUT	No
2	207Q00000X	Family Medicine		025352	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C01692	MEDICARE PIN	CONNECTICUT
2	001253525	MEDICAID	CONNECTICUT
3	B38456	MEDICARE UPIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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