Organization
BRIDGEPORT MONROE PEDIATRIC GRP., PC
Active
Other names
Newtown Monroe Pediatric Grp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO MALAVE M.D. (PRESIDENT)
(203) 367-6050
Entity
Organization
Contact information
Practice address
2475 NORTH AVE, BRIDGEPORT, CT 06604-2337
(203) 367-6050
(203) 366-1367
Mailing address
2475 NORTH AVE, BRIDGEPORT, CT 06604-2337
(203) 367-6050
(203) 366-1367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23440
CT
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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