NPI 1568056984 · live from the CMS NPI Registry
Connecticut Children'S Specialty Group, INC.
Ophthalmology in Glastonbury, CT. National Provider Identifier 1568056984, active.
NPI record
| NPI | 1568056984 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 131 New London Tpke Ste 200, Glastonbury, CT 06033 |
| Practice phone | 860-837-9628 |
| Mailing address | 10 Columbus Blvd Fl 4, Hartford, CT 06106 |
| Enumerated | February 25, 2021 |
| Last updated | December 5, 2023 |
| Authorized official | Kelli Allen-Dunn, Director, Medical Staff & Credentia |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | — |
| Otolaryngology | 207Y00000X | — |
| Pediatrics | 208000000X | — |
| Pediatrics, Neonatal-Perinatal Medicine | 2080N0001X | — |
| Pediatrics, Pediatric Critical Care Medicine | 2080P0203X | — |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | — |
| Pediatrics, Pediatric Nephrology | 2080P0210X | — |
| Pediatrics, Pediatric Endocrinology | 2080P0205X | — |
| Pediatrics, Pediatric Pulmonology | 2080P0214X | — |
| Pediatrics, Pediatric Gastroenterology | 2080P0206X | — |
| Pediatrics, Pediatric Hematology-Oncology | 2080P0207X | — |
| Pediatrics, Pediatric Infectious Diseases | 2080P0208X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.