Organization
NEW HAVEN PEDIATRIC & ADOLESCENT MEDICAL SERV
Active
Other names
Tamiko V Jackson MD
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL JACKSON (OFFICE MANAGER)
(203) 906-3854
Entity
Organization
Contact information
Practice address
1423 CHAPEL ST, UNIT 2B, NEW HAVEN, CT 06511
(203) 752-0706
(203) 772-0387
Mailing address
1423 CHAPEL ST, UNIT 2B, NEW HAVEN, CT 06511
(203) 752-0706
(203) 772-0387
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0136872
CT
363LP0200X
Pediatric Nurse Practitioner
0002815
CT
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us