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EAST HARTFORD MEDICAL CENTER INC NPI 1942274113


NPI Information

NPI: 1942274113
Provider Name: EAST HARTFORD MEDICAL CENTER INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
580 BURNSIDE AVENUE
SUITE 4
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 528-5068
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EAST HARTFORD MEDICAL CENTER INC is a pediatrics in East Hartford, 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. EAST HARTFORD MEDICAL CENTER INC NPI is 1942274113. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

580 BURNSIDE AVENUE
SUITE 4
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 528-5068
Fax: (860) 528-2341

The provider's authorized official is Sheihh Irfan Ahmed .
The authorized official title is President and has the following contact phone number (860) 528-5068.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 3/6/2015.


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
1111N00000XChiropractor001764CONNECTICUTNo
2207Q00000XFamily Medicine0425088CONNECTICUTNo
3207Q00000XFamily Medicine046516CONNECTICUTNo
4208000000XPediatrics031248CONNECTICUTNo
5363L00000XNurse Practitioner0033368CONNECTICUTNo
6363LF0000XNurse PractitionerFamily004611CONNECTICUTNo
7363LP0200XNurse PractitionerPediatrics4721CONNECTICUTNo
8208000000XPediatrics033904CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02853MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
2004224622MEDICAIDCONNECTICUT

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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