Organization
ESSENTIAL PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH A JOHNSON M.S. CCC-SLP, C/NDT (OWNER)
(203) 391-3720
Entity
Organization
Contact information
Practice address
132 E PUTNAM AVE STE 24, COS COB, CT 06807-2724
(203) 391-3720
Mailing address
16 LANCER LN, STAMFORD, CT 06905-1731
(203) 391-3270
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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