The Pediatric Center

LBN: The Pediatric Center
The Pediatric Center is an health care organization with primary practice located at 126 Morgan Street , Stamford CT 09605. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Nursing Service Providers / Pediatrics is the primary health care specialty. The Pediatric Center can be contacted via phone (203) 327-1055, or through Beaudry, Jill via phone (203) 327-1055.

Contact Information

Primary practice address
126 Morgan Street Stamford CT 09605
Fax: (203) 323-6177
Website:
Authorized official contact:
Name: Beaudry, Jill

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 001946 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 001903 Connecticut

Profile Details

NPI number 1477822690
LBN Legal business name The Pediatric Center
DBA Doing business as
Authorized official Beaudry, Jill
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2011
Last updated Dec 16th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477822690 NPPES
Connecticut MEDICAID 004129781

Popular Providers