East Avenue Pediatrics PC
Pediatrics in Norwalk, Connecticut
1093092165- Practice location
- 148 East Ave, Suite 1L, Norwalk, CT 06851-5721
- Phone
- 203-854-6993
- Fax
- 203-854-9227
- Last updated
- November 3, 2011
East Avenue Pediatrics PC is a healthcare organization based in Norwalk, CT. East Avenue Pediatrics PC practices in Norwalk, CT. The NPI Number for East Avenue Pediatrics PC is 1093092165 and holds a License No. 038173 (CT). The current practice location address for East Avenue Pediatrics PC is 148 East Ave, Suite 1L, Norwalk, CT 06851-5721 and can be reached out via phone at 203-854-6993 and via fax at 203-854-9227.
Provider Profile Details
- NPI Number
- 1093092165
- Provider Name
- East Avenue Pediatrics PC
- Provider Entity Type
- Organization
- Address
- 148 East Ave, Suite 1L, Norwalk, CT 06851-5721
- Phone Number
- 203-854-6993
- Fax Number
- 203-854-9227
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Libia Rueda-Matik · Physician · 203-854-6993
- Provider Enumeration Date
- November 3, 2011
- Last Update Date
- November 3, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 148 East Ave
Suite 1L
Norwalk, CT 06851-5721 - City
- Norwalk
- State
- Connecticut
- Zip
- 06851-5721
- Phone Number
- 203-854-6993
- Fax Number
- 203-854-9227
Provider Business Mailing Address Details
- Address
- 148 East Ave
Suite 1L
Norwalk, CT 06851-5721 - City
- Norwalk
- State
- CT
- Zip
- 06851-5721
- Phone Number
- 203-854-6993
- Fax Number
- 203-854-9227
License Information
- License Number
- 038173
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Norwalk, CT
View all Pediatrics providers in Norwalk →Frequently Asked Questions
What is the NPI number of East Avenue Pediatrics PC?
The NPI number of East Avenue Pediatrics PC is 1093092165. It was assigned on November 3, 2011 and is currently active in the NPPES registry.
What is the specialty of East Avenue Pediatrics PC?
East Avenue Pediatrics PC is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 038173.
Where does East Avenue Pediatrics PC practice?
The practice location is 148 East Ave, Suite 1L, Norwalk, CT 06851-5721. The office can be reached at 203-854-6993 (phone) or 203-854-9227 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093092165 directly on the NPPES registry website.