Organization · Type 2 NPI
Windham Primary Care LLC
Pediatric Adolescent Medicine Physician · North Windham, CT
NPI number
1780874776
Active
Practice location
387 Tuckie Rd Ste C
North Windham, CT 06256-1355
Fax (860) 456-1298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 037518 (CT) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Another provider at this address
About NPI 1780874776
Windham Primary Care LLC's National Provider Identifier is 1780874776, issued on Jul 26, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in North Windham, CT. The record was last updated on Jul 26, 2007.