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General NPI Number Information
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NPI Number | 1093904625
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Entity Type | Organization
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Legal Business Name | PETER T. NAIMAN MD LLC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 831 BOSTON POST RD SUITE 201
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City | MILFORD
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State | CT
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Zip | 06460-3536
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Country | US
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Telephone | 203-877-4206
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Fax | 203-878-4666
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Provider Business Mailing Address
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Address Line | 831 BOSTON POST RD SUITE 201
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City | MILFORD
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State | CT
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Zip | 06460-3536
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Country | US
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Telephone | 203-877-4206
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Fax | 203-878-4666
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Authorized Official
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Title or Position | PHYSICIAN
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Name | PETER T NAIMAN
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Credential | MD
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Telephone | 203-877-4206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 14322
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License Number State | CT
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