PEDER JOHNSEN

MIDDLETOWN, CT
NPI1639791577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  8775)
Enumeration Date2020-05-14
Last Update Date2021-02-24
Business Address
PEDER JOHNSEN APRN
28 CRESCENT ST
MIDDLETOWN, CT 06457-3654
Phone number: 860-358-6000
Mailing Address
PEDER JOHNSEN APRN
28 CRESCENT ST
MIDDLETOWN, CT 06457-3654
Phone number: 860-358-6000