Organization
GALES FERRY PEDIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERT ESPOSITO M.D. (PHYSICIAN/OWNER)
(860) 464-7248
Entity
Organization
Contact information
Practice address
1527 ROUTE 12, GALES FERRY, CT 06335-1800
(860) 464-7248
(860) 464-0125
Mailing address
1527 ROUTE 12, PO BOX 608, GALES FERRY, CT 06335-0608
(860) 464-7248
(860) 464-0125
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
CT
Other
Enumeration date
02/14/2007
Last updated
12/28/2011
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