# PEDIATRICS PLUS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013287218
- **Authorized official:** DR. ELSA L. STONE M.D. (PRESIDENT)
- **Authorized official phone:** (203) 239-4627

## Contact information

- **Practice address:** 13 PECK ST, NORTH HAVEN, CT 06473-2308
- **Practice address phone:** (203) 239-4627
- **Practice address fax:** (203) 234-8533
- **Mailing address:** 13 PECK ST, NORTH HAVEN, CT 06473-2308
- **Mailing address phone:** (203) 239-4627
- **Mailing address fax:** (203) 234-8533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 7148307-000 | CT | Yes |

## Other

- **Enumeration date:** 01/04/2012
- **Last updated:** 01/04/2012