National Provider Identifier Database

RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE
Primary Care


Contact Information

RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE
20 WATER ST
CHESTER, CT06412
Phone: 401-490-1289
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE

NPI Number 1639660194
Legal business name
LBN
RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE
Authorized official ELIZABETH BIRD - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/21/2018
Last updated 08/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 53136
  • CT Medicaid: 008080251

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.

Reviews for RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE

There are currently no reviews for RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE


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