East Avenue Pediatrics Pc

LBN: East Avenue Pediatrics Pc
East Avenue Pediatrics Pc is an health care organization with primary practice located at 148 East Ave Suite 1L, Norwalk CT 06851-5721. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. East Avenue Pediatrics Pc can be contacted via phone (203) 854-6993, or through Rueda-Matik, Libia via phone (203) 854-6993.

Contact Information

Primary practice address
148 East Ave Suite 1L Norwalk CT 06851-5721
Phone: (203) 854-6993
Fax: (203) 854-9227
Website:
Map and Directions
Authorized official contact:
Name: Rueda-Matik, Libia
Phone: (203) 854-6993

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 038173 Connecticut

Profile Details

NPI number 1093092165
LBN Legal business name East Avenue Pediatrics Pc
DBA Doing business as
Authorized official Rueda-Matik, Libia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2011
Last updated Nov 3rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093092165 NPPES
Connecticut MEDICAID 001381730

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