Dr. Mark Peterson, MD
Pediatrics in Southington, Connecticut
1467519793- Practice location
- 143 N Main St, Southington, CT 06489-2513
- Phone
- 860-621-6764
- Fax
- 860-621-2640
- Last updated
- July 8, 2007
Mark Peterson is a Pediatrics based in Southington, CT. Mark Peterson practices in Southington, CT and has the professional credentials of MD. The NPI Number for Mark Peterson is 1467519793 and holds a License No. 22224 (CT). The current practice location address for Mark Peterson is 143 N Main St, Southington, CT 06489-2513 and can be reached out via phone at 860-621-6764 and via fax at 860-621-2640.
Provider Profile Details
- NPI Number
- 1467519793
- Provider Name
- Mark Peterson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 143 N Main St, Southington, CT 06489-2513
- Phone Number
- 860-621-6764
- Fax Number
- 860-621-2640
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 3, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 143 N Main St
Southington, CT 06489-2513 - City
- Southington
- State
- Connecticut
- Zip
- 06489-2513
- Phone Number
- 860-621-6764
- Fax Number
- 860-621-2640
Provider Business Mailing Address Details
- Address
- 143 N Main St
Southington, CT 06489-2513 - City
- Southington
- State
- CT
- Zip
- 06489-2513
- Phone Number
- 860-621-6764
- Fax Number
- 860-621-2640
License Information
- License Number
- 22224
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Southington, CT
View all Pediatrics providers in Southington →- Dr. George Skarvinko, MDPediatrics · NPI 1184647380
- Dr. Sari K Friedman, MDPediatrics · NPI 1588669311
- Lifespring Pediatrics LLCPediatrics · NPI 1033157722
- Maureen N Onyirimba, MDPediatrics · NPI 1821042953
- Sari K Friedman MD LLCPediatrics · NPI 1609010743
- Southington Pediatric Associates LLCPediatrics · NPI 1659585149
Frequently Asked Questions
What is the NPI number of Dr. Mark Peterson, MD?
The NPI number of Dr. Mark Peterson, MD is 1467519793. It was assigned on January 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark Peterson, MD?
Dr. Mark Peterson, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 22224.
Where does Dr. Mark Peterson, MD practice?
The practice location is 143 N Main St, Southington, CT 06489-2513. The office can be reached at 860-621-6764 (phone) or 860-621-2640 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467519793 directly on the NPPES registry website.