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Contact Information

INTERNAL MEDICINE & PEDIATRICS LLC
111 NEW HAVEN AVE
DERBY, CT06418-2197
 Phone: 203-736-9214
 Fax: 203-736-9172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE PEDIATRICS LLC · (Female)

NPI # 1013122993
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 023888
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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