Organization
SMART START PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HOWARD LAVALETTE MD (OWNER)
(860) 657-5800
Entity
Organization
Contact information
Practice address
27 SYCAMORE ST., SUITE 300, GLASTONBURY, CT 06033
(860) 657-5800
(860) 633-6808
Mailing address
27 SYCAMORE ST., SUITE 300, GLASTONBURY, CT 06033
(860) 657-5800
(860) 633-6808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037023
CT
363LP0200X
Pediatric Nurse Practitioner
002159
CT
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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