# PEDIATRIC PARTNERS, LLC

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

## Provider details

- **NPI number:** 1568805059
- **Authorized official:** SCOTT M KALLOR DO (DO / OWNER)
- **Authorized official phone:** (860) 286-0444

## Contact information

- **Practice address:** 705 BLOOMFIELD AVE, SUITE 101, BLOOMFIELD, CT 06002-2479
- **Practice address phone:** (860) 286-0444
- **Practice address fax:** (860) 286-0464
- **Mailing address:** 705 BLOOMFIELD AVE, SUITE 101, BLOOMFIELD, CT 06002-2479
- **Mailing address phone:** (860) 286-0444
- **Mailing address fax:** (860) 286-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 042001 | CT | Yes |

## Other

- **Enumeration date:** 04/15/2013
- **Last updated:** 05/06/2013