Organization · Type 2 NPI
East Lyme Pediatric Clinic, LLC
Primary Care Clinic/Center · Niantic, CT
NPI number
1326265745
Active
Practice location
170 Flanders Rd
Niantic, CT 06357-1208
Fax (860) 739-3252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 27074 (CT) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1326265745
East Lyme Pediatric Clinic, LLC's National Provider Identifier is 1326265745, issued on Apr 19, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Niantic, CT. The record was last updated on Mar 19, 2013.