Individual
ELIZABETH MADELINE BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 WATER ST, CHESTER, CT 06412
(860) 532-0525
(860) 483-5314
Mailing address
2 DEEP HOLLOW RD, CHESTER, CT 06412-1112
(860) 532-0525
(860) 483-5314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53136
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008080251
—
CT
01
—
1598834152
NPI
RI
Enumeration date
11/07/2006
Last updated
08/27/2018
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