Organization
PEDIATRIC ASSOC OF CONN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A FISCHBEIN MD (PRESIDENT)
(203) 755-2999
Entity
Organization
Contact information
Practice address
160 ROBBINS STREET, WATERBURY, CT 06708
(203) 755-2999
(203) 755-6782
Mailing address
160 ROBBINS STREET, WATERBURY, CT 06708
(203) 755-2999
(203) 755-6782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040534680
—
CT
Enumeration date
04/03/2006
Last updated
12/18/2012
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