NEW HAVEN PEDIATRIC & ADOLESCENT MEDICAL SERV
Organization (NPI-2)
Active
Pediatrics
Provider Information
- NPI Number
1962680934- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1423 CHAPEL ST UNIT 2B, NEW HAVEN, CT, 06511
- Phone
- (203) 752-0706
- Fax
- (203) 772-0387
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
License: CT #0002815
Pediatrics
Primary License: CT #0136872