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Contact Information

NUTMEG PEDIATRIC PULMONARY SERVICES LLC
6 BUSINESS PARK DR
SUITE 202
BRANFORD, CT06405-2988
 Phone: 203-208-2395
 Fax: 203-433-4638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NUTMEG PEDIATRIC PULMONARY SERVICES LLC · (Female)

NPI # 1053655548
Status Active
Credentials
Entity Individual
Enumeration date 11/21/2012
Last updated 12/11/2012 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 034923
  • CT Other 034923 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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