Organization
WILLIMAUTIC PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAMARIS R ORTIZ (OFFICE MANAGER)
(860) 456-1132
Entity
Organization
Contact information
Practice address
70 MANSFIELD AVENUE, WILLIMAUTIC, CT 06226-2020
(860) 456-1132
(860) 456-2023
Mailing address
70 MANSFIELD AVENUE, WILLIMAUTIC, CT 06226-2020
(860) 456-1132
(860) 456-2023
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CT
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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