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Organization
CHOATE ROSEMARY HALL FOUNDATION
Active
Organization
CHOATE ROSEMARY HALL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E. BENJAMIN GARDNER MD (DIRECTOR OF HEALTH SERVICES)
(203) 697-2203
Entity
Organization
Contact information
Practice address
333 CHRISTIAN STREET, WALLINGFORD, CT 06492
(203) 697-2203
(203) 697-2294
Mailing address
333 CHRISTIAN STREET, WALLINGFORD, CT 06492
(203) 697-2203
(203) 697-2294
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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