Eastshore Pediatrics
LBN: Eastshore Pediatrics
Eastshore Pediatrics is an health care organization with primary practice located at 1556 New Haven Ave , Milford CT 06460-8220. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Eastshore Pediatrics can be contacted via phone (203) 878-5941, or through Fugal, Jan Peter via phone (203) 878-5941.
Contact Information
Primary practice address
1556 New Haven Ave
Milford CT 06460-8220
Phone: (203) 878-5941
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1508876103 |
|---|---|
| LBN Legal business name | Eastshore Pediatrics |
| DBA Doing business as | |
| Authorized official | Fugal, Jan Peter Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1508876103 | NPPES |
| Connecticut | Other | 16917 | CDS |
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