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Contact Information

PEDIATRIC ASSOC OF CONN PC
160 ROBBINS STREET
WATERBURY, CT06708
 Phone: 203-755-2999
 Fax: 203-755-6782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC ASSOC OF CONN PC · (Female)

NPI Number 1376505859
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2006
Last updated 12/18/2012 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 0040534680
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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