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NUTMEG PEDIATRIC PULMONARY SERVICES LLC NPI 1053655548


NPI Information

NPI: 1053655548
Provider Name: NUTMEG PEDIATRIC PULMONARY SERVICES LLC
Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
6 BUSINESS PARK DR
SUITE 202
BRANFORD, CT
ZIP 06405
Phone: (203) 208-2395
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NUTMEG PEDIATRIC PULMONARY SERVICES LLC is a pediatric pulmonology pediatrics in Branford, CT. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. NUTMEG PEDIATRIC PULMONARY SERVICES LLC NPI is 1053655548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6 BUSINESS PARK DR
SUITE 202
BRANFORD, CT
ZIP 06405-988
Phone: (203) 208-2395
Fax: (203) 433-4638

The provider's authorized official is Regina M Palazzo .
The authorized official title is Owner and has the following contact phone number (203) 208-2395.

The enumeration date for this NPI number is 11/21/2012 and was last updated on 12/11/2012.


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
12080P0214XPediatricsPediatric Pulmonology034923CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1034923OTHERCONNECTICUTLICENSE

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: 11/14/2023

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