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Physicians Pediatrics Neonatal-Perinatal Medicine

Provider NPI: 1639283542

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 860-714-6581  Fax: 860-714-8311

Business Mailing Address:
Tel: 860-714-4404  Fax: --

NPI Information:
NPI: 1639283542
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Neonatal-Perinatal Medicine
N174400000XOther Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 208000000X





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