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Organization

LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUCILLE A SEMERARO MD (MEMBER)
(203) 781-4321
Entity
Organization

Contact information

Practice address
150 SARGENT DR, STE 6, NEW HAVEN, CT 06511-6100
(203) 781-4321
(203) 781-4329
Mailing address
150 SARGENT DR, STE 6, NEW HAVEN, CT 06511-6100
(203) 781-4321
(203) 781-4329

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
03/09/2007
Last updated
06/11/2013
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