Organization
CHILDREN'S MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG PAUL SUMMERS M.D., F.A.A.P. (PEDIATRICIAN)
(203) 288-4288
Entity
Organization
Contact information
Practice address
299 WASHINGTON AVE, HAMDEN, CT 06518-3026
(203) 288-4288
(855) 414-4010
Mailing address
299 WASHINGTON AVE, HAMDEN, CT 06518-3026
(203) 288-4288
(203) 288-1566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004002093
—
CT
05
—
004254281
—
CT
05
—
008049477
—
CT
05
—
008075993
—
CT
Enumeration date
06/05/2006
Last updated
04/30/2024
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