Individual provider · Type 1 NPI

Bridget Ione Peterson, PA-C

Surgical Physician Assistant · Norwalk, CT

NPI number 1063514628 Active

Practice location

34 Maple St
Norwalk, CT 06850-3815

Mailing address

37-39 Ferris Ave, Apt. 16
Norwalk, CT 06854-1551

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X001806 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1063514628

Bridget Ione Peterson, PA-C's National Provider Identifier is 1063514628, issued on Sep 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Norwalk, CT. The record was last updated on Dec 8, 2010.