| NPI | 1629138748 |
|---|---|
| Doing Business As | PEDIATRIC & ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JAMES D. CONCATO Practice Administrator 203-294-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |