MODERN ERA PEDIATRIC PRACTICE

BRIDGEPORT, CT
NPI1194817460
Entity TypeOrganization
Authorized ContactANSELM CHIBUIKE ANYOHA
Medical Director
203-371-4800
Organization Subpart ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
Enumeration Date2006-09-28
Last Update Date2012-11-09
Business Address
MODERN ERA PEDIATRIC PRACTICE
3715 MAIN ST SUITE 403
BRIDGEPORT, CT 06606-3618
Phone number: 203-371-4800
Mailing Address
MODERN ERA PEDIATRIC PRACTICE
3715 MAIN ST SUITE 403
BRIDGEPORT, CT 06606-3618
Phone number: 203-371-4800