NPI | 1205958675 |
---|---|
Doing Business As | STATIONHOUSE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SOPHIA V. LEONIDA Owner 203-375-9350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 023160) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2011-09-27 |