Organization
GUILFORD PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN HR STEIN III MD (PRESIDENT)
(203) 453-5235
Entity
Organization
Contact information
Practice address
152 BROAD STREET, GUILFORD, CT 06437-2603
(203) 453-5235
(203) 453-6204
Mailing address
152 BROAD STREET, GUILFORD, CT 06437-2603
(203) 453-5235
(203) 453-6204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004001939
—
CT
Enumeration date
12/03/2007
Last updated
12/15/2008
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