Male or Other

Peter B. Brown MD

Family Medicine Physician in Hartford, CT(View on Map)

Full Name

Peter Burgess Brown MD

NPI Number

1295882934

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/04/2007

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Connecticut

License Number

030177

Contact
Information

Purpose

Mailing
Location

Address

360 SHENIPSIT LAKE RD
99 WOODLAND ST

City

Tolland
Hartford

State

CT
CT

Postal Code

06084-2025
06105-1207

Country

US
US

Telephone Number

(860) 870-8368
(860) 714-4212

Identifiers

Identifier

030177

Identifier State

CT

Identifier Issuer

LICENSE CT

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/07/2023

Provider Address

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