PEDIATRIC PRACTICE ASSOCIATES P.C. NPI 1831386317

NPI Information

PEDIATRIC PRACTICE ASSOCIATES, P.C. is an adolescent medicine pediatrics in Stamford, 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 PRACTICE ASSOCIATES, P.C. NPI is 1831386317. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1515 SUMMER ST
STE. 101
STAMFORD, CT
ZIP 06905-149
Phone: (203) 323-8171
Fax: (203) 323-7122

The provider's authorized official is Haydee L. Lancman .
The authorized official title is Owner and has the following contact phone number (203) 323-8171.

The CLIA number assigned to this NPI record is 07D1003191 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 9/8/2011.

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:

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