Organization
PEDIATRIC ASSOCIATES OF NEW LONDON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWEN R. EHRLICH M.D., F.A.A.P. (PARTNER)
(860) 442-8817
Entity
Organization
Contact information
Practice address
53 GRANITE ST, SUITE C, NEW LONDON, CT 06320-5917
(860) 442-8817
Mailing address
53 GRANITE ST, SUITE C, NEW LONDON, CT 06320-5917
(860) 442-8817
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CT
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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