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Organization
NORTHWEST HILLS PEDIATRICS PC
Active
Organization
NORTHWEST HILLS PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CARLETON KAVLE M.D. (PRESIDENT)
(860) 489-5068
Entity
Organization
Contact information
Practice address
538 LITCHFIELD ST, SUITE G-02, TORRINGTON, CT 06790-6669
(860) 489-5068
(860) 489-3725
Mailing address
538 LITCHFIELD ST, SUITE G-02, TORRINGTON, CT 06790-6669
(860) 489-5068
(860) 489-3725
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
01/16/2007
Last updated
12/07/2017
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