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Contact Information

RIDGEFIELD PEDIATRIC ASSOCIATES
38 B GROVE ST
RIDGEFIELD, CT06877
 Phone: 203-438-9557
 Fax: 203-438-7857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RIDGEFIELD PEDIATRIC ASSOCIATES · (Female)

NPI # 1427197193
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2007
Last updated 07/23/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 008059573
  • CT Medicaid 4088573
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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