National Provider Identifier Database

TERRY M ECCLES MD LLC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

TERRY M. ECCLES, MD, LLC
72-LL WEST STAFFORD ROAD
STAFFORD SPRINGS, CT06076
Phone: 860-684-5015
Fax: 860-684-3749
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for TERRY M. ECCLES, MD, LLC

NPI Number 1952689945
Legal business name
LBN
TERRY M. ECCLES, MD, LLC
Authorized official TERRY ECCLES - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 07/26/2011
Last updated 11/17/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 005863
  • CT License #: 037680

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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