Organization
PEDIATRIC WALK IN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEMANT K PANCHAL M.D. (OWNER)
(860) 749-7603
Entity
Organization
Contact information
Practice address
141 B HAZARD AVENUE, ENFIELD, CT 06082-5412
(860) 749-7603
(860) 749-7604
Mailing address
141 B HAZARD AVENUE, ENFIELD, CT 06082-5412
(860) 749-7603
(860) 749-7604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032413
CT
2080A0000X
Pediatric Adolescent Medicine Physician
032413
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001324136
—
CT
Enumeration date
11/18/2013
Last updated
11/18/2013
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