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EAST HAVEN PEDIATRICS P.C. NPI 1376624106


NPI Information

NPI: 1376624106
Provider Name: EAST HAVEN PEDIATRICS P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D0098683

Address:
300 MAIN ST
EAST HAVEN, CT
ZIP 06512
Phone: (203) 469-8882
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EAST HAVEN PEDIATRICS P.C. is a pediatrics in East 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. EAST HAVEN PEDIATRICS P.C. NPI is 1376624106. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 MAIN ST
EAST HAVEN, CT
ZIP 06512-904
Phone: (203) 469-8882
Fax: (203) 467-9973

The provider's authorized official is Shi-jen Cheng .
The authorized official title is President Pediatrician and has the following contact phone number (203) 469-8882.

The CLIA number assigned to this NPI record is 07D0098683 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/14/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatricsYes

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: 5/5/2024

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