NPI | 1356535777 |
---|---|
Doing Business As | ENFIELD PEDIATRIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ROSS W. PORTER Owner Doctor 860-749-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 032642) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2008-06-30 |