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GUILFORD PEDIATRICS INC NPI 1649452558


NPI Information

NPI: 1649452558
Provider Name: GUILFORD PEDIATRICS INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D0096684

Address:
152 BROAD STREET
GUILFORD, CT
ZIP 06437
Phone: (203) 453-5235
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GUILFORD PEDIATRICS INC is a pediatrics in Guilford, 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. GUILFORD PEDIATRICS INC NPI is 1649452558. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

152 BROAD STREET
GUILFORD, CT
ZIP 06437-603
Phone: (203) 453-5235
Fax: (203) 453-6204

The provider's authorized official is Jonathan Hr Stein .
The authorized official title is President and has the following contact phone number (203) 453-5235.

The CLIA number assigned to this NPI record is 07D0096684 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 12/15/2008.


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

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004001939MEDICAIDCONNECTICUT

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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