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NUTMEG PEDIATRIC PULMONARY SERVICES NPI 1174792949


NPI Information

NPI: 1174792949
Provider Name: NUTMEG PEDIATRIC PULMONARY SERVICES
Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
60 TEMPLE ST
7F
NEW HAVEN, CT
ZIP 06510
Phone: (203) 789-1338
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NUTMEG PEDIATRIC PULMONARY SERVICES is a pediatric pulmonology pediatrics in New Haven, 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 NPI is 1174792949. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 TEMPLE ST
7F
NEW HAVEN, CT
ZIP 06510
Phone: (203) 789-1338
Fax: (203) 789-1478

The provider's authorized official is Regina M Palazzo .
The authorized official title is President and has the following contact phone number (203) 789-1338.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 5/27/2008.


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 PulmonologyCONNECTICUTYes

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
1E57998MEDICARE UPINCONNECTICUT
2001349233MEDICAIDCONNECTICUT
3370001562MEDICARE PINCONNECTICUT
4C03229MEDICARE PINCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.