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Dr. Jonathan Robert Reidel, MD
Pediatrics Physician in Newington, Connecticut
NPI 1184793481

Jonathan Robert Reidel is a Pediatrics Physician based in Newington, CT. Jonathan Robert Reidel practices in Newington, CT and has the professional credentials of MD. The NPI Number for Jonathan Robert Reidel is 1184793481 and holds a License No. 044890 (Connecticut).

The current practice location address for Jonathan Robert Reidel is 375 Willard Ave, Newington, CT and can be reached out via phone at 860-666-5167 and via fax at 860-665-8168.

Location: 375 Willard Ave, Newington, CT, 06111-2300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184793481
Provider Name
Jonathan Robert Reidel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
375 Willard Ave, Newington, CT, 06111-2300
Phone Number
860-666-5167
Fax Number
860-665-8168
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P3735238 01 CT OXFORD
7615732 01 CT CIGNA
004195930 05 CT
227660 01 CT CONNECTICARE
369523 01 CT WELLCARE MEDICARE
001448902 05 CT
010044890CT01 01 CT BCBS & BCFP PROV ID
1255448155 01 CT GHMC GROUP NPI ID
1470175 01 CT AETNA
2V8732 01 CT HEALTH NET
institution
Provider Business Practice Location Address Details
Address
375 Willard Ave
City
Newington
State
Connecticut
Zip
06111-2300
Phone Number
860-666-5167
Fax Number
860-665-8168
person
Provider Business Mailing Address Details
Address
375 Willard Ave
City
Newington
State
Connecticut
Zip
06111-2300
Phone Number
860-666-5167
Fax Number
860-665-8168
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
044890 (Connecticut)
Definition
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 development.
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