NORTHWEST HILLS PEDIATRICS PC NPI 1639220676

NPI Information

NORTHWEST HILLS PEDIATRICS PC is an adolescent medicine pediatrics in Torrington, 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. NORTHWEST HILLS PEDIATRICS PC NPI is 1639220676. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

538 LITCHFIELD ST
SUITE G-02
TORRINGTON, CT
ZIP 06790-669
Phone: (860) 489-5068
Fax: (860) 489-3725

The provider's authorized official is Edward Carleton Kavle .
The authorized official title is President and has the following contact phone number (860) 489-5068.

The CLIA number assigned to this NPI record is 07D0100533 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/7/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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