Organization
PEDIATRIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA I LOPEZ (PRACTICE MANAGER)
(860) 589-5238
Entity
Organization
Contact information
Practice address
10 N MAIN ST, BRISTOL, CT 06010-8102
(860) 589-5230
(860) 589-5297
Mailing address
10 N MAIN ST, BRISTOL, CT 06010-8102
(860) 589-5230
(860) 589-5297
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1896539000
CT
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
About Stedi
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