Pediatric & Adolescent Medicine in East Hartford - Internal Medicine
Pediatric & Adolescent Medicine - NPI 1265472583
Pediatric & Adolescent Medicine is a Internal Medicine in East Hartford, Connecticut. Pediatric & Adolescent Medicine practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Pediatric & Adolescent Medicine is 1265472583. The last update date is 2014-12-16.
Pediatric & Adolescent Medicine's current location address is 580 Burnside Ave, East Hartford, Connecticut. You can contact this provider via phone number 8602827128 and fax number 8606461261. The mailing address for Pediatric & Adolescent Medicine is 580 Burnside Ave, East Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric & Adolescent Medicine |
|---|---|
| Address | 580 Burnside Ave, East Hartford, Connecticut |
| Phone Number | 8602827128 |
| Fax Number | 8606461261 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ahmed Shaheen |
| Telephone Number | 8606435218 |
NPI Number Detail
| NPI Number | 1265472583 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2014-12-16 |
Provider Mailing Address Detail
| Address | 580 Burnside Ave |
|---|---|
| City | East Hartford |
| State | Connecticut (CT) |
| Post Code | 61083579 |
| Phone Number | 8602827128 |
| Fax Number | 8606461261 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4247252 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pediatric & Adolescent Medicine by the Centers for Medicare & Medicaid Services?
The Pediatric & Adolescent Medicine has been assigned the NPI (National Provider Identifier) 1265472583. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pediatric & Adolescent Medicine's physical address?
The Pediatric & Adolescent Medicine is physically located at 580 Burnside Ave, in the city of East Hartford, CT, with the postal code 61083579.
What is the Pediatric & Adolescent Medicine's area of specialization and corresponding taxonomy classification?
The Pediatric & Adolescent Medicine's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1265472583 assigned to Pediatric & Adolescent Medicine?
The Pediatric & Adolescent Medicine was issued its 1265472583 on 2006-06-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Pediatric & Adolescent Medicine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric & Adolescent Medicine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-12-16.
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