Anderson, Peter Lloyd

Anderson, Peter Lloyd is an individual health care provider with primary practice located at 1 Old Park Lane Suite 2, New Milford CT 06776. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Peter Lloyd can be contacted via phone (860) 355-3728.

Contact Information

Primary practice address
1 Old Park Lane Suite 2 New Milford CT 06776
Phone: (860) 355-3728
Fax: (860) 355-4253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 025352 Connecticut
Other Service Providers / Specialist 174400000X 000613 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 025352 Connecticut

Profile Details

NPI number 1396715231
LBN Legal business name Anderson, Peter Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 13th, 2010 - about 15 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 1396715231 NPPES
Connecticut MEDICAID 001253525

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