NPI 1649353350 · live from the CMS NPI Registry
Susan F Dellert, M.D.
Pediatrics, Neurodevelopmental Disabilities in Farmington, CT. National Provider Identifier 1649353350, active.
NPI record
| NPI | 1649353350 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Neurodevelopmental Disabilities 2080P0008X |
| Practice location | 11 South Rd Ste 120, Farmington, CT 06032 |
| Practice phone | 860-837-6350 |
| Mailing address | 10 Columbus Blvd Fl 4, Hartford, CT 06106 |
| Enumerated | October 24, 2006 |
| Last updated | April 2, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | MA06455000 (NJ) |
| Pediatrics, Neurodevelopmental Disabilities primary | 2080P0008X | 31703 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.