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SHELTON PEDIATRICS NPI 1922597830


NPI Information

NPI: 1922597830
Provider Name: SHELTON PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D2150265

Address:
2 TRAP FALLS RD STE 101
SHELTON, CT
ZIP 06484
Phone: (203) 828-7185
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SHELTON PEDIATRICS is a pediatrics in Shelton, 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. SHELTON PEDIATRICS NPI is 1922597830. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 TRAP FALLS RD STE 101
SHELTON, CT
ZIP 06484-616
Phone: (203) 828-7185

The provider's authorized official is Fadi Hammoud .
The authorized official title is Pediatrician and has the following contact phone number (203) 437-0346.

The CLIA number assigned to this NPI record is 07D2150265 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2018 and was last updated on 5/7/2018.


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
1208000000XPediatrics043900CONNECTICUTYes
22080A0000XPediatricsAdolescent Medicine043900CONNECTICUTNo

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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