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Contact Information

PETER DECKERS
263 FARMINGTON AVE
FARMINGTON, CT06030-0001
 Phone: 860-679-2100
 Fax: 860-679-4815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER DECKERS · (Male)

NPI Number 1154326841
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2005
Last updated 11/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 025495
  • CT Medicaid 1254952
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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