Organization
THE PEDIATRIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HOAR (PRACTICE ADMIN)
(203) 327-1055
Entity
Organization
Contact information
Practice address
126 MORGAN ST, STAMFORD, CT 06905-5431
(203) 327-1055
Mailing address
126 MORGAN ST, STAMFORD, CT 06905-5431
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
5419
CT
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004129781
—
CT
Enumeration date
08/19/2006
Last updated
09/25/2015
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