Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 26245 | CT |
N | 207VG0400X | Gynecologist | 26245 | CT |
N | 207VX0000X | Obstetrician | 26245 | CT |
NPI | 1154412674 |
---|---|
Provider Name | Peter T Auerbach |
First Address | Groton, CT 06340-6226 |
Second Address | Groton, CT 06340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 01/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001262450 | (05) | CT |
E67607 | (02) |