Organization
EAST HAVEN PEDIATRICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHI-JEN CHENG M.D. (PRESIDENT PEDIATRICIAN)
(203) 469-8882
Entity
Organization
Contact information
Practice address
300 MAIN ST, EAST HAVEN, CT 06512-2904
(203) 469-8882
(203) 467-9973
Mailing address
300 MAIN ST, EAST HAVEN, CT 06512-2904
(203) 469-8882
(203) 467-9973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/18/2006
Last updated
06/14/2012
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