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Contact Information

THE PEDIATRIC CENTER
126 MORGAN STREET
STAMFORD, CT09605
 Phone: 203-327-1055
 Fax: 203-323-6177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

163WP0200X
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for THE PEDIATRIC CENTER

NPI Number 1477822690
LBN Legal business name THE PEDIATRIC CENTER
Authorized official JILL BEAUDRY - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2011
Last updated 12/16/2011 - About 14 years ago
Identifiers
CT License # 001903
CT License # 001946
CT Medicaid 004129781
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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