NPI 1528077286 · live from the CMS NPI Registry
Canterbury Pediatrics, PC
Pediatrics in Monroe, CT. National Provider Identifier 1528077286, active.
NPI record
| NPI | 1528077286 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 401 Monroe Tpke, Monroe, CT 06468 |
| Practice phone | 203-452-1063 |
| Enumerated | August 5, 2006 |
| Last updated | November 8, 2007 |
| Authorized official | John Tsalapatanis, MD |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Pediatrics primary | 208000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.