Organization
HAMDEN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RICHARD CANNY MD (OWNER/PHYSICIAN)
(203) 287-0552
Entity
Organization
Contact information
Practice address
9 WASHINGTON AVE, HAMDEN, CT 06518-3267
(203) 287-0552
(203) 287-1426
Mailing address
9 WASHINGTON AVE, HAMDEN, CT 06518-3267
(203) 287-0552
(203) 287-1426
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020653
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004159598
—
CT
Enumeration date
08/20/2007
Last updated
12/26/2012
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