NPI | 1750305017 |
---|---|
Former Legal Business Name | PEDIATRIC ASSOCIATES OF NORWALK & DARIEN, P.C |
Entity Type | Organization |
Authorized Contact | JENNA STEPHANIE MIRCHIN Billing Manager 203-229-2009 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2006-07-27 |
Last Update Date | 2013-04-12 |