Earlene Jane Peckham in New Haven - Pediatrics
Earlene Jane Peckham - NPI 1619901535
Earlene Jane Peckham is a Pediatrics in New Haven, Connecticut. Earlene Jane Peckham practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Earlene Jane Peckham is 1619901535. The last update date is 2007-07-08.
Earlene Jane Peckham's current location address is 191 Fountain St, New Haven, Connecticut. You can contact this provider via phone number 2039466606 and fax number 2039466637. The mailing address for Earlene Jane Peckham is 191 Fountain St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earlene Jane Peckham |
|---|---|
| Address | 191 Fountain St, New Haven, Connecticut |
| Phone Number | 2039466606 |
| Fax Number | 2039466637 |
| Sole Proprietor | Y |
| Credentials | APRN,CPNP, |
NPI Number Detail
| NPI Number | 1619901535 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 191 Fountain St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65151901 |
| Phone Number | 2039466606 |
| Fax Number | 2039466637 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 425 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique 10-digit identification code issued to Earlene Jane Peckham by the Centers for Medicare & Medicaid Services?
The Earlene Jane Peckham has been assigned the NPI (National Provider Identifier) 1619901535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Earlene Jane Peckham's physical address?
The Earlene Jane Peckham is physically located at 191 Fountain St, in the city of New Haven, CT, with the postal code 65151901.
What is Earlene Jane Peckham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Earlene Jane Peckham's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
When did Earlene Jane Peckham receive its 1619901535 assignment?
The Earlene Jane Peckham was assigned its 1619901535 on 2006-07-10, which is the date when this unique identifier was issued to the organization.
As of what date were the Earlene Jane Peckham's details last updated?
The information pertaining to the Earlene Jane Peckham, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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