Jonathan Robert Reidel in Newington - Pediatrics

Jonathan Robert Reidel - NPI 1184793481

Jonathan Robert Reidel is a Pediatrics in Newington, Connecticut. Jonathan Robert Reidel practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jonathan Robert Reidel is 1184793481. The last update date is 2013-04-01.

Jonathan Robert Reidel's current location address is 375 Willard Ave, Newington, Connecticut. You can contact this provider via phone number 8606665167 and fax number 8606658168. The mailing address for Jonathan Robert Reidel is 375 Willard Ave, Newington, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Robert Reidel
Address 375 Willard Ave, Newington, Connecticut
Phone Number 8606665167
Fax Number 8606658168
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1184793481
Provider Enumeration Date 2006-11-08
Last Updated Date 2013-04-01

Provider Mailing Address Detail

Address 375 Willard Ave
City Newington
State Connecticut (CT)
Post Code 61112300
Phone Number 8606665167
Fax Number 8606658168

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 44890
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P3735238 CT OXFORD
7615732 CT CIGNA
4195930 CT --
227660 CT CONNECTICARE
369523 CT WELLCARE MEDICARE
1448902 CT --
010044890CT01 CT BCBS & BCFP PROV ID
1255448155 CT GHMC GROUP NPI ID
1470175 CT AETNA
2V8732 CT HEALTH NET

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FAQs about Jonathan Robert Reidel

What is the unique 10-digit identifier code issued to Jonathan Robert Reidel by the Centers for Medicare & Medicaid Services?

The Jonathan Robert Reidel has been assigned the NPI (National Provider Identifier) 1184793481 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jonathan Robert Reidel is geographically located?

The Jonathan Robert Reidel is physically situated at the following location: 375 Willard Ave, Newington, CT, 61112300.

What is the Jonathan Robert Reidel's area of specialization and corresponding taxonomy classification?

The Jonathan Robert Reidel's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date did the Jonathan Robert Reidel receive the assignment of its 1184793481 from the Centers for Medicare & Medicaid Services?

The Jonathan Robert Reidel was issued its 1184793481 by the Centers for Medicare & Medicaid Services on 2006-11-08.

When was the information pertaining to Jonathan Robert Reidel most recently updated or revised?

The details related to Jonathan Robert Reidel, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-01.

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