Individual provider · Type 1 NPI

Peter Niclas Broer

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1770748709 Active

Practice location

20 York Street, T-209, Yale New Haven Hospital
New Haven, CT 06510

Call (203) 668-2259 Map

Mailing address

233 Mansfield Grove Rd
East Haven, CT 06512-4804

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770748709

Peter Niclas Broer's National Provider Identifier is 1770748709, issued on Jul 18, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Jul 18, 2008.