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NEW HAVEN WALK IN MEDICAL CENTER NPI 1285837401


NPI Information

NPI: 1285837401
Provider Name: NEW HAVEN WALK IN MEDICAL CENTER

Other Name: NEW HAVEN WALK IN MEDICAL CENTER LLC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D0958376

Address:
77 GRAND AVE
NEW HAVEN, CT
ZIP 06513
Phone: (203) 562-8697
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NEW HAVEN WALK IN MEDICAL CENTER is a pediatrics in New Haven, 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. NEW HAVEN WALK IN MEDICAL CENTER NPI is 1285837401. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is New Haven Walk In Medical Center Llc.

The provider's business location address is:

77 GRAND AVE
NEW HAVEN, CT
ZIP 06513-906
Phone: (203) 562-8697
Fax: (203) 562-1822

The provider's authorized official is Mallick Qaiser Alam .
The authorized official title is Physician In Charge and has the following contact phone number (203) 562-8697.

The CLIA number assigned to this NPI record is 07D0958376 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/22/2020.


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
1208000000XPediatrics034112CONNECTICUTYes
2261QP2000XClinic/CenterPhysical Therapy034112CONNECTICUTX

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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