Gold Star Pediatrics Llc in Groton - Pediatrics
Gold Star Pediatrics Llc - NPI 1033311915
Gold Star Pediatrics Llc is a Pediatrics in Groton, Connecticut. Gold Star Pediatrics Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gold Star Pediatrics Llc is 1033311915. The last update date is 2008-12-29.
Gold Star Pediatrics Llc's current location address is 495 Gold Star Hwy, Groton, Connecticut. You can contact this provider via phone number 8604498882 and fax number 8604499195. The mailing address for Gold Star Pediatrics Llc is 495 Gold Star Hwy, Groton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gold Star Pediatrics Llc |
|---|---|
| Address | 495 Gold Star Hwy, Groton, Connecticut |
| Phone Number | 8604498882 |
| Fax Number | 8604499195 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Blefeld Michael |
| Telephone Number | 8604498882 |
NPI Number Detail
| NPI Number | 1033311915 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2008-12-29 |
Provider Mailing Address Detail
| Address | 495 Gold Star Hwy |
|---|---|
| City | Groton |
| State | Connecticut (CT) |
| Post Code | 63406228 |
| Phone Number | 8604498882 |
| Fax Number | 8604499195 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 22070 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4395530 | CT | -- | |
| 4238227 | CT | -- |
Post Comment/ Review Below
What is the Gold Star Pediatrics Llc's unique identification number?
The Gold Star Pediatrics Llc has been assigned the NPI (National Provider Identifier) Number 1033311915 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gold Star Pediatrics Llc?
The Gold Star Pediatrics Llc is situated at 495 Gold Star Hwy, in the city of Groton, state of CT, with the zip code 63406228.
What is the Gold Star Pediatrics Llc's area of specialization and corresponding taxonomy classification?
The Gold Star Pediatrics Llc's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
When did Gold Star Pediatrics Llc receive its 1033311915 assignment?
The Gold Star Pediatrics Llc was assigned its 1033311915 on 2007-06-04, which is the date when this unique identifier was issued to the organization.
When was the information related to Gold Star Pediatrics Llc most recently updated or refreshed?
The details pertaining to the Gold Star Pediatrics Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-12-29.