Peterson, Andrea A

Peterson, Andrea A is an individual health care provider with primary practice located at 24 Stevens St , Norwalk CT 06850-3852. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Peterson, Andrea A can be contacted via phone (203) 852-2375.

Contact Information

Primary practice address
24 Stevens St Norwalk CT 06850-3852
Phone: (203) 852-2375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 40602 Connecticut
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 040602 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 040602 Connecticut

Profile Details

NPI number 1245200187
LBN Legal business name Peterson, Andrea A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 1st, 2008 - about 16 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 1245200187 NPPES
Connecticut Other OV2706 HEALTHNET
Connecticut Other 2254541 HEALTHNET
Connecticut Other 2991975 HEALTHNET
Connecticut Other 010040602CT01 HEALTHNET
Connecticut Other P2718821 HEALTHNET
Connecticut Other 5565197 HEALTHNET
Connecticut MEDICAID 001406025 HEALTHNET
Connecticut Other 40602 HEALTHNET

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