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SOUND BEACH PEDIATRICS LLC NPI 1548625569


NPI Information

NPI: 1548625569
Provider Name: SOUND BEACH PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D2109259

Address:
2001 W MAIN ST
SUITE 132
STAMFORD, CT
ZIP 06902
Phone: (203) 331-2044
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SOUND BEACH PEDIATRICS, LLC is a pediatrics in Stamford, 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. SOUND BEACH PEDIATRICS, LLC NPI is 1548625569. The provider is registered as an organization entity type.

The provider's business location address is:

2001 W MAIN ST
SUITE 132
STAMFORD, CT
ZIP 06902-501
Phone: (203) 331-2044
Fax: (475) 619-9855

The provider's authorized official is Katherine Noble .
The authorized official title is Md and has the following contact phone number (203) 363-0123.

The CLIA number assigned to this NPI record is 07D2109259 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 8/9/2016.


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
1261QP2300XClinic/CenterPrimary Care041814CONNECTICUTNo
2208000000XPediatricsYes

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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