PEDIATRIC HEALTH ASSOCIATES OF CONEECTICUT LLC NPI 1780246306

NPI Information

PEDIATRIC HEALTH ASSOCIATES OF CONEECTICUT, LLC is an adolescent medicine pediatrics in Wethersfield, 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. PEDIATRIC HEALTH ASSOCIATES OF CONEECTICUT, LLC NPI is 1780246306. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

239 SILAS DEANE HWY
WETHERSFIELD, CT
ZIP 06109-730
Phone: (860) 436-4620
Fax: (860) 500-7642

The provider's authorized official is Saima N Jafri .
The authorized official title is Director and has the following contact phone number (860) 513-1282.

The CLIA number assigned to this NPI record is 07D2169365 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2019 and was last updated on 10/2/2019.

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:

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