Staywell Pediatric Llc in West Haven - Adolescent Medicine
Staywell Pediatric Llc - NPI 1841498839
Staywell Pediatric Llc is a Adolescent Medicine in West Haven, Connecticut. Staywell Pediatric Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Staywell Pediatric Llc is 1841498839. The last update date is 2007-07-11.
Staywell Pediatric Llc's current location address is 365 Elm St, West Haven, Connecticut. You can contact this provider via phone number 2039323227. The mailing address for Staywell Pediatric Llc is 365 Elm St, West Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Staywell Pediatric Llc |
|---|---|
| Address | 365 Elm St, West Haven, Connecticut |
| Phone Number | 2039323227 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Etkin Thomas |
| Credentials | M.D. |
| Telephone Number | 2039323227 |
NPI Number Detail
| NPI Number | 1841498839 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 365 Elm St |
|---|---|
| City | West Haven |
| State | Connecticut (CT) |
| Post Code | 65164217 |
| Phone Number | 2039323227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 1775 |
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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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What is the unique identifier code issued to Staywell Pediatric Llc by the Centers for Medicare & Medicaid Services?
The Staywell Pediatric Llc has been assigned the NPI (National Provider Identifier) 1841498839. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Staywell Pediatric Llc?
The Staywell Pediatric Llc is situated at 365 Elm St, in the city of West Haven, state of CT, with the zip code 65164217.
What is Staywell Pediatric Llc's area of expertise and its corresponding taxonomy classification?
The Staywell Pediatric Llc's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Staywell Pediatric Llc receive the assignment of its 1841498839 from the Centers for Medicare & Medicaid Services?
The Staywell Pediatric Llc was issued its 1841498839 by the Centers for Medicare & Medicaid Services on 2007-07-11.
When was the Staywell Pediatric Llc's information last updated?
The Staywell Pediatric Llc's information was last updated on 2007-07-11.