MODERN ERA PEDIATRIC PRACTICE is an adolescent medicine pediatrics in Bridgeport, CT. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. MODERN ERA PEDIATRIC PRACTICE NPI is 1194817460. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
3715 MAIN ST
SUITE 403
BRIDGEPORT, CT
ZIP 06606-618
Phone: (203) 371-4800
Fax: (203) 371-4900
The provider's authorized official is Anselm Chibuike Anyoha .
The authorized official title is Medical Director and has the following contact phone number (203) 371-4800.
The CLIA number assigned to this NPI record is 07D2098025 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/28/2006 and was last updated on 11/9/2012.