# DOCTORS PEDIATRIC PC

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

## Provider details

- **NPI number:** 1083822480
- **Authorized official:** DR. CHRISTINE MACKEN MD (ADMIN)
- **Authorized official phone:** (203) 762-3363

## Contact information

- **Practice address:** 55 DANBURY RD, WILTON, CT 06897-4405
- **Practice address phone:** (203) 762-3363
- **Practice address fax:** (203) 762-1999
- **Mailing address:** 55 DANBURY RD, WILTON, CT 06897-4405
- **Mailing address phone:** (203) 762-3363
- **Mailing address fax:** (203) 762-1999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 02/13/2025