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Contact Information

TOWN AND COUNTRY PEDIATRICS AND FAMILY MEDICINE, P.C.
380 MAIN STREET
WATERTOWN, CT06795
 Phone: 860-274-8891
 Fax: 860-274-8895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TOWN AND COUNTRY PEDIATRICS AND FAMILY MEDICINE PC · (Female)

NPI # 1942414081
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2007
Last updated 12/12/2012 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 001457
  • CT License # 035903
  • CT License # 041948
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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