person
Michael Noel Alonzo Peralta
Military Health Care Provider in Groton, Connecticut
NPI 1811470628

Michael Noel Alonzo Peralta is a Military Health Care Provider based in Bremerton, CT. Michael Noel Alonzo Peralta practices in Groton, CT. The NPI Number for Michael Noel Alonzo Peralta is 1811470628 and holds a License No. (Connecticut).

The current practice location address for Michael Noel Alonzo Peralta is 1 Wahoo Ave, Groton, CT and can be reached out via phone at 860-581-0090.

Location: 1 Wahoo Ave, Groton, CT, 98311-4013
person
Provider Profile Details
NPI Number
1811470628
Provider Name
Michael Noel Alonzo Peralta
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Wahoo Ave, Groton, CT, 98311-4013
Phone Number
860-581-0090
Fax Number
Provider Enumeration Date
09/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Wahoo Ave
City
State
Zip
06349-2324
Phone Number
860-581-0090
Fax Number
person
Provider Business Mailing Address Details
Address
1 Wahoo Ave
City
State
Zip
06349-2324
Phone Number
860-581-0090
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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