NPI 1619186574 · live from the CMS NPI Registry
Branford North Branford Pediatrics,PC
Pediatrics, Adolescent Medicine in North Branford, CT. National Provider Identifier 1619186574, active.
NPI record
| NPI | 1619186574 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 999 Foxon Rd, North Branford, CT 06471 |
| Practice phone | 203-484-7334 |
| Mailing address | 682 E Main St, Branford, CT 06405 |
| Enumerated | May 21, 2007 |
| Last updated | May 7, 2013 |
| Authorized official | Linda Waldman, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.