Organization · Type 2 NPI

Jefferson Park Pediatrics P C

Pediatrics Physician · Fort Wayne, IN

NPI number 1629263181 Active

Practice location

3919 W Jefferson Blvd Ste 1
Fort Wayne, IN 46804-6811

Fax (260) 459-0012

Other practice locations

  • 3919 W Jefferson Blvd Ste 2, Fort Wayne, IN 46804-6811 · (260) 450-1313

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Integrative Medicine Physician 202D00000XNone listed
Dermatology Physician 207N00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Pediatrics Physician Primary 208000000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1629263181

Jefferson Park Pediatrics P C's National Provider Identifier is 1629263181, issued on Sep 7, 2007. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 23, 2025.