| Organization Name: | PETER ANDERSON |
| NPI Number: | 1063611267 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER LLOYD ANDERSON (PCP) |
| Mailing Address: | 1 Old Park Ln Suite 2 New Milford |
| State: | CT US |
| Postal Code: | 067762562 |
| Phone Number: | 8603553728 |
| Fax Number: | 8603554253 |
| NPI Enumeration Date: | 07/17/2007 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 000613 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |