MILFORD PEDIATRIC GROUP PC NPI 1407975675

NPI Information

  • NPI: 1407975675
  • Provider Name: MILFORD PEDIATRIC GROUP, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 07D0698130
  • Address: 50 COMMERCE PARK
    MILFORD, CT
    ZIP 06460
  • Phone: (203) 882-2066

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NPI Details

MILFORD PEDIATRIC GROUP, PC is a specialist in Milford, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MILFORD PEDIATRIC GROUP, PC NPI is 1407975675. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 COMMERCE PARK
MILFORD, CT
ZIP 06460-565
Phone: (203) 882-2066
Fax: (203) 882-2074

The provider's authorized official is Jeffrey Gruskay .
The authorized official title is Pres. and has the following contact phone number (203) 882-2066.

The CLIA number assigned to this NPI record is 07D0698130 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 7/5/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist001279CONNECTICUTYes

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: 11/21/2025

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