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MAIN STREET PEDIATRICS PC NPI 1043341621


NPI Information

NPI: 1043341621
Provider Name: MAIN STREET PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3180 MAIN ST
MAIN STREET PEDIATRICS, PC
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 371-7111
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MAIN STREET PEDIATRICS, PC is a pediatrics in Bridgeport, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MAIN STREET PEDIATRICS, PC NPI is 1043341621. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3180 MAIN ST
MAIN STREET PEDIATRICS, PC
BRIDGEPORT, CT
ZIP 06606-237
Phone: (203) 371-7111

The provider's authorized official is Roy E Schutzengel .
The authorized official title is President and has the following contact phone number (203) 371-7111.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsCONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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