Organization
NORWICH PEDIATRIC GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA M MAXIM (OFFICE MANAGER)
(860) 889-3401
Entity
Organization
Contact information
Practice address
92 NEW LONDON TPKE, NORWICH, CT 06360-2637
(860) 889-3401
(860) 823-1782
Mailing address
92 NEW LONDON TPKE, NORWICH, CT 06360-2637
(860) 889-3401
(860) 823-1782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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