East Haven Pediatrics P.c.

NPI 1376624106 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1376624106
Enumeration Date 10/18/2006
Last Updated 06/14/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHI-JEN SHI-JEN
Position PRESIDENT PEDIATRICIAN
Phone (203) 469-8882
Fax (203) 467-9973
Practice Location
300 MAIN ST
EAST HAVEN CT, 06512-2904, US
Phone (203) 469-8882
Fax (203) 467-9973
Business Location
300 MAIN ST
EAST HAVEN CT, 06512-2904, US
Phone (203) 469-8882
Fax (203) 467-9973
Toxanomy
Taxonomy Code 363LP0200X
License State
License Number
Remove 1376624106 NPI Number
 

According to our database, East Haven Pediatrics P.c. NPI is 1376624106, taxonomy code is 363LP0200X East Haven Pediatrics P.c. physically located at 300 Main St, East Haven CT, 06512-2904. NPI Number 1033115704 has the healthcare provider type.

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1376624106 NPI number is provided on an as is basis without warranty of any kind. 1376624106 is maintained by the National Plan & Provider Enumeration System. The contents of East Haven Pediatrics P.c. are for informational purposes only.