# TOLLAND COUNTY PEDIATRICS & ADOLESCENT MEDICINE, LLC

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

## Provider details

- **NPI number:** 1619181500
- **Authorized official:** JOHN H SENECHAL MD (PARTNER)
- **Authorized official phone:** (860) 875-9856

## Contact information

- **Practice address:** 239 MERROW RD, TOLLAND, CT 06084-3915
- **Practice address phone:** (860) 875-9856
- **Practice address fax:** (860) 875-9868
- **Mailing address:** 239 MERROW RD, TOLLAND, CT 06084-3915
- **Mailing address phone:** (860) 875-9856
- **Mailing address fax:** (860) 875-9868

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 02/06/2013
