NPI 1205901758 · live from the CMS NPI Registry
Childrens Health Service
Pediatrics, Adolescent Medicine in Weston, CT. National Provider Identifier 1205901758, active.
NPI record
| NPI | 1205901758 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 4 Goodhill Rd, Weston, CT 06883 |
| Practice phone | 203-226-3035 |
| Enumerated | November 21, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Gerald Lieberman, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.