Organization
MAIN STREET PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY E SCHUTZENGEL MD (PRESIDENT)
(203) 371-7111
Entity
Organization
Contact information
Practice address
3180 MAIN ST, MAIN STREET PEDIATRICS, PC, BRIDGEPORT, CT 06606-4237
(203) 371-7111
Mailing address
3180 MAIN ST, MAIN STREET PEDIATRICS, PC, BRIDGEPORT, CT 06606-4237
(203) 371-7111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CT
Other
Enumeration date
03/08/2007
Last updated
07/10/2007
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