Active NPIIndividual providerSole proprietor

Dr. Nils H Petersen, MD

Psychiatry & Neurology, Neurology in New Haven, Connecticut

NPI Number1962644872
Practice location
15 York St, Llci 1000C, New Haven, CT 06510-3221
Fax
—
Last updated
October 23, 2019

Nils H Petersen is a Psychiatry & Neurology, Neurology based in New Haven, CT. Nils H Petersen practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Nils H Petersen is 1962644872 and holds a License No. 53381 (CT). The current practice location address for Nils H Petersen is 15 York St, Llci 1000C, New Haven, CT 06510-3221 and can be reached out via phone at 203-737-2051.

Provider Profile Details

NPI Number
1962644872
Provider Name
Nils H Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 York St, Llci 1000C, New Haven, CT 06510-3221
Phone Number
203-737-2051
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 25, 2009
Last Update Date
October 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 York St
Llci 1000C
New Haven, CT 06510-3221
Zip
06510-3221
Phone Number
203-737-2051
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
100 Golden Hill Dr
Guilford, CT 06437-2198
City
Guilford
State
CT
Zip
06437-2198

License Information

License Number
53381
License State
CT
Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nils H Petersen, MD?

The NPI number of Dr. Nils H Petersen, MD is 1962644872. It was assigned on March 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Nils H Petersen, MD?

Dr. Nils H Petersen, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in CT under license number 53381.

Where does Dr. Nils H Petersen, MD practice?

The practice location is 15 York St, Llci 1000C, New Haven, CT 06510-3221. The office can be reached at 203-737-2051 (phone).

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 1962644872 directly on the NPPES registry website.

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