Organization
T.L.C. PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA R JORQUERA M.D. (PEDIATRICIAN/CO-OWNER)
(203) 855-7551
Entity
Organization
Contact information
Practice address
10 MOTT AVE, NORWALK, CT 06850-3320
(203) 855-7551
(203) 855-7624
Mailing address
10 MOTT AVE, NORWALK, CT 06850-3320
(203) 855-7551
(203) 855-7624
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037622
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001376228
—
CT
Enumeration date
01/29/2008
Last updated
01/29/2008
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