Organization
CT VALLEY PEDIATRIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MATHEWS MD (PRESIDENT)
(860) 285-8017
Entity
Organization
Contact information
Practice address
1080 DAY HILL ROAD, WINDSOR, CT 06095-1781
(860) 285-8017
(860) 285-8017
Mailing address
1080 DAY HILL ROAD, WINDSOR, CT 06095-1781
(860) 285-8017
(860) 285-8017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004393964
—
CT
Enumeration date
03/24/2010
Last updated
03/24/2010
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