# BRANFORD NORTH BRANFORD PEDIATRICS,PC

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

## Provider details

- **NPI number:** 1619186574
- **Authorized official:** DR. LINDA A. WALDMAN (PRESIDENT)
- **Authorized official phone:** (203) 481-5591

## Contact information

- **Practice address:** 999 FOXON RD, NORTH BRANFORD, CT 06471-1287
- **Practice address phone:** (203) 484-7334
- **Practice address fax:** (203) 484-7301
- **Mailing address:** 682 E MAIN ST, BRANFORD, CT 06405-2907
- **Mailing address phone:** (203) 481-5591
- **Mailing address fax:** (203) 481-5594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 05/07/2013