THE PEDIATRIC CENTER NPI 1477822690

NPI Information

NPI: 1477822690
Provider Name: THE PEDIATRIC CENTER
Classification: Registered Nurse - 163WP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
126 MORGAN STREET
STAMFORD, CT
ZIP 09605
Phone: (203) 327-1055
Get Directions

THE PEDIATRIC CENTER is a pediatrics registered nurse in Stamford, CT. THE PEDIATRIC CENTER NPI is 1477822690. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

126 MORGAN STREET
STAMFORD, CT
ZIP 09605
Phone: (203) 327-1055
Fax: (203) 323-6177

The provider's authorized official is Jill Beaudry .
The authorized official title is Practice Administrator and has the following contact phone number (203) 327-1055.

The enumeration date for this NPI number is 12/16/2011 and was last updated on 12/16/2011.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	001903	CONNECTICUT	No
2	163WP0200X	Registered Nurse	Pediatrics	001946	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004129781	MEDICAID	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

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