Pediatric & Adolescent Medicine
LBN: Pediatric & Adolescent Medicine
Pediatric & Adolescent Medicine is an health care organization with primary practice located at 580 Burnside Ave Suite 3, East Hartford CT 06108-3579. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Pediatric & Adolescent Medicine can be contacted via phone (860) 282-7128, or through Ahmed, Shaheen via phone (860) 643-5218.
Contact Information
Primary practice address
580 Burnside Ave Suite 3
East Hartford CT 06108-3579
Phone: (860) 282-7128
Fax: (860) 646-1261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1265472583 |
|---|---|
| LBN Legal business name | Pediatric & Adolescent Medicine |
| DBA Doing business as | |
| Authorized official | Ahmed, Shaheen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Dec 16th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265472583 | NPPES |
| Connecticut | MEDICAID | 004247252 |
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