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AVON PEDIATRICS LLC NPI 1447265806


NPI Information

NPI: 1447265806
Provider Name: AVON PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D0669516

Address:
34 DALE RD
SUITE 205
AVON, CT
ZIP 06001
Phone: (860) 676-1111
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AVON PEDIATRICS, LLC is a pediatrics in Avon, 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. AVON PEDIATRICS, LLC NPI is 1447265806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34 DALE RD
SUITE 205
AVON, CT
ZIP 06001-659
Phone: (860) 676-1111
Fax: (860) 676-0134

The provider's authorized official is Steven Jay Brown .
The authorized official title is Llc Member and has the following contact phone number (860) 676-1111.

The CLIA number assigned to this NPI record is 07D0669516 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 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
1208000000XPediatricsYes

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: 4/28/2024

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