Provider Demographics
NPI:1922030295
Name:ALLEGRA, PETER A (D C)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:A
Last Name:ALLEGRA
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 1ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-1622
Mailing Address - Country:US
Mailing Address - Phone:860-529-9207
Mailing Address - Fax:860-529-9207
Practice Address - Street 1:1101 HARBOR VIEW DR
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1536
Practice Address - Country:US
Practice Address - Phone:860-529-9207
Practice Address - Fax:860-529-9207
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor