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Organization

PEDIATRIC PARENTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELISABETH A. REILLY APRN, CLC (PRESIDENT)
(203) 415-2238
Entity
Organization

Contact information

Practice address
435 AMITY RD, BETHANY, CT 06524-3038
(203) 415-2238
Mailing address
435 AMITY RD, BETHANY, CT 06524-3038
(203) 415-2238

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000590
CT

Other

Enumeration date
04/01/2011
Last updated
04/01/2011
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