South Windsor Pediatrics, Llc in South Windsor - Adolescent Medicine

South Windsor Pediatrics, Llc - NPI 1851588701

South Windsor Pediatrics, Llc is a Adolescent Medicine in South Windsor, Connecticut. South Windsor Pediatrics, Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for South Windsor Pediatrics, Llc is 1851588701. The last update date is 2007-09-25.

South Windsor Pediatrics, Llc's current location address is 1665 Ellington Rd, South Windsor, Connecticut. You can contact this provider via phone number 8606482447 and fax number 8606440874. The mailing address for South Windsor Pediatrics, Llc is 1665 Ellington Rd, South Windsor, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Windsor Pediatrics, Llc
Address 1665 Ellington Rd, South Windsor, Connecticut
Phone Number 8606482447
Fax Number 8606440874
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Freedman L. Eileen
Credentials M.D.
Telephone Number 8606482447

NPI Number Detail

NPI Number 1851588701
Provider Enumeration Date 2007-09-25
Last Updated Date 2007-09-25

Provider Mailing Address Detail

Address 1665 Ellington Rd
City South Windsor
State Connecticut (CT)
Post Code 60742705
Phone Number 8606482447
Fax Number 8606440874

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 21699
Definition:
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.

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FAQs about South Windsor Pediatrics, Llc

What is the unique identifier code issued to South Windsor Pediatrics, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The South Windsor Pediatrics, Llc has been assigned the NPI (National Provider Identifier) 1851588701. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where South Windsor Pediatrics, Llc's facilities are situated?

The facilities of South Windsor Pediatrics, Llc are physically located at the following address: 1665 Ellington Rd, South Windsor, CT, 60742705.

What is the South Windsor Pediatrics, Llc's area of specialization and corresponding taxonomy classification?

The South Windsor Pediatrics, Llc's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.

On what date did the South Windsor Pediatrics, Llc receive the assignment of its 1851588701 from the Centers for Medicare & Medicaid Services?

The South Windsor Pediatrics, Llc was issued its 1851588701 by the Centers for Medicare & Medicaid Services on 2007-09-25.

As of what date were the details pertaining to South Windsor Pediatrics, Llc last refreshed?

The information related to the South Windsor Pediatrics, Llc, including its address, specialty, and other relevant details, was last updated on 2007-09-25.

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