Organization
LITCHFIELD COUNTY PEDIATRICS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA Z GRANT MD (CO-OWNER)
(860) 489-4144
Entity
Organization
Contact information
Practice address
52 PECK RD, TORRINGTON, CT 06790-6107
(860) 489-4144
Mailing address
52 PECK RD, TORRINGTON, CT 06790-6107
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004221264
—
CT
Enumeration date
09/10/2007
Last updated
09/10/2007
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