Provider Demographics
NPI:1033116009
Name:BARNETT, PETER R (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:R
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 607
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-549-3210
Mailing Address - Fax:860-247-3803
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 607
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:860-549-3210
Practice Address - Fax:860-247-3803
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT018297207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B39038Medicare UPIN