# CHILDRENS HEALTH SERVICE

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

## Provider details

- **NPI number:** 1205901758
- **Authorized official:** DR. GERALD LIEBERMAN MD (OWNER)
- **Authorized official phone:** (203) 226-3035

## Contact information

- **Practice address:** 4 GOODHILL RD, WESTON, CT 06883
- **Practice address phone:** (203) 226-3035
- **Practice address fax:** (203) 221-1736
- **Mailing address:** 4 GOODHILL RD, WESTON, CT 06883
- **Mailing address phone:** (203) 226-3035
- **Mailing address fax:** (203) 221-1736

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020