SOUTH WINDSOR PEDIATRICS LLC NPI 1851588701

NPI Information

NPI: 1851588701
Provider Name: SOUTH WINDSOR PEDIATRICS, LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1665 ELLINGTON RD
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 648-2447
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SOUTH WINDSOR PEDIATRICS, LLC is an adolescent medicine pediatrics in South Windsor, 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. SOUTH WINDSOR PEDIATRICS, LLC NPI is 1851588701. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1665 ELLINGTON RD
SOUTH WINDSOR, CT
ZIP 06074-705
Phone: (860) 648-2447
Fax: (860) 644-0874

The provider's authorized official is Eileen L. Freedman .
The authorized official title is Owner and has the following contact phone number (860) 648-2447.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 9/25/2007.

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	2080A0000X	Pediatrics	Adolescent Medicine	021699	CONNECTICUT	Yes

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

NPI Synchronization or Removal

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