NPI 1609186816 · live from the CMS NPI Registry
Choate Rosemary Hall Foundation
Pediatrics, Adolescent Medicine in Wallingford, CT. National Provider Identifier 1609186816, active.
NPI record
| NPI | 1609186816 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 333 Christian Street, Wallingford, CT 06492 |
| Practice phone | 203-697-2203 |
| Enumerated | October 21, 2010 |
| Last updated | October 21, 2010 |
| Authorized official | E. Benjamin Gardner, Director Of Health Services |
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.