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WARREN PEDIATRICS LLC NPI 1043451214


NPI Information

NPI: 1043451214
Provider Name: WARREN PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D0094925

Address:
81 S MAIN ST STE 5
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 521-4044
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WARREN PEDIATRICS, LLC is a pediatrics in West Hartford, 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. WARREN PEDIATRICS, LLC NPI is 1043451214. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

81 S MAIN ST STE 5
WEST HARTFORD, CT
ZIP 06107-400
Phone: (860) 521-4044
Fax: (860) 521-3885

The provider's authorized official is Matthew Scott Warren .
The authorized official title is Member and has the following contact phone number (860) 521-4044.

The CLIA number assigned to this NPI record is 07D0094925 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2009 and was last updated on 7/23/2013.


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
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatrics042022CONNECTICUTYes

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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