Organization
CHILD & ADOLESCENT HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE RUDOLPH MD (OWNER)
(203) 574-4747
Entity
Organization
Contact information
Practice address
179 ROSELAND AVE, WATERBURY, CT 06710
(203) 574-4747
(203) 574-2251
Mailing address
179 ROSELAND AVE, WATERBURY, CT 06710
(203) 574-4747
(203) 574-2251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
000431
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4049987
—
CT
Enumeration date
11/30/2007
Last updated
03/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us