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Organization

PEDIATRIC & MEDICAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD ANGOFF M.D. (PRESIDENT PEDIATRIC & MEDICAL ASSOC)
(203) 865-3737
Entity
Organization

Contact information

Practice address
1 LONG WHARF DR, SUITE 105, NEW HAVEN, CT 06511-5991
(203) 865-3737
(203) 624-0751
Mailing address
1 LONG WHARF DR, SUITE 105, NEW HAVEN, CT 06511-5991
(203) 865-3737
(203) 624-0751

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004001913
CT
01
50PEDMEDICT01
BCBS ID 50PEDMEDICT01
Enumeration date
01/19/2007
Last updated
04/25/2014
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