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CONNECTICUT CHILDREN'S SPECIALTY GROUP INC. NPI 1568056984


NPI Information

NPI: 1568056984
Provider Name: CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
131 NEW LONDON TPKE STE 200
GLASTONBURY, CT
ZIP 06033
Phone: (860) 837-9628
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CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. is an ophthalmology in Glastonbury, CT. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. NPI is 1568056984. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

131 NEW LONDON TPKE STE 200
GLASTONBURY, CT
ZIP 06033-246
Phone: (860) 837-9628

The provider's authorized official is Kelli Allen-dunn .
The authorized official title is Director, Medical Staff & Credentia and has the following contact phone number (860) 837-5561.

The enumeration date for this NPI number is 2/25/2021 and was last updated on 12/5/2023.


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
1207X00000XOrthopaedic SurgeryNo
2207Y00000XOtolaryngologyNo
3208000000XPediatricsNo
42080N0001XPediatricsNeonatal-Perinatal MedicineNo
52080P0203XPediatricsPediatric Critical Care MedicineNo
62080P0204XPediatricsPediatric Emergency MedicineNo
72080P0210XPediatricsPediatric NephrologyNo
82080P0205XPediatricsPediatric EndocrinologyNo
92080P0214XPediatricsPediatric PulmonologyNo
102080P0206XPediatricsPediatric GastroenterologyNo
112080P0207XPediatricsPediatric Hematology-OncologyNo
122080P0208XPediatricsPediatric Infectious DiseasesNo
13363A00000XPhysician AssistantNo
14363LP0200XNurse PractitionerPediatricsNo
15207W00000XOphthalmologyYes

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

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.