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Organization
BRANFORD NORTH BRANFORD PEDIATRICS,PC
Active
Organization
BRANFORD NORTH BRANFORD PEDIATRICS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA A. WALDMAN (PRESIDENT)
(203) 481-5591
Entity
Organization
Contact information
Practice address
999 FOXON RD, NORTH BRANFORD, CT 06471-1287
(203) 484-7334
(203) 484-7301
Mailing address
682 E MAIN ST, BRANFORD, CT 06405-2907
(203) 481-5591
(203) 481-5594
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
05/21/2007
Last updated
05/07/2013
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