Organization
NEW CANAAN PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRISON J PIERCE MD (PRESIDENT)
(203) 972-4250
Entity
Organization
Contact information
Practice address
173 EAST AVENUE, NEW CANAAN, CT 06840
(203) 972-4250
(203) 801-2126
Mailing address
173 EAST AVENUE, NEW CANAAN, CT 06840
(203) 972-4250
(203) 801-2126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
027537
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000121762701
UNITED HEALTH CARE
—
01
—
0011745800
BLUE CARE
—
01
—
010017458CT01
ANTHEM BC BS
—
01
—
2627988
CIGNA
—
01
—
2V6405
HEALTH NET
—
01
—
4257243
AETNA
—
01
—
ZP293
OXFORD
—
Enumeration date
12/13/2006
Last updated
08/22/2020
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