institution
Modern Era Pediatric Practice
Pediatric Adolescent Medicine Physician in Bridgeport, Connecticut
NPI 1194817460

Modern Era Pediatric Practice is a Pediatric Adolescent Medicine Physician based in Bridgeport, CT and is specialized in Adolescent Medicine. Modern Era Pediatric Practice practices in Bridgeport, CT. The NPI Number for Modern Era Pediatric Practice is 1194817460 and holds a License No. (Connecticut).

The current practice location address for Modern Era Pediatric Practice is 3715 Main St, Bridgeport, CT and can be reached out via phone at 203-371-4800 and via fax at 203-371-4900.

Location: 3715 Main St, Bridgeport, CT, 06606-3618
institution
Provider Profile Details
NPI Number
1194817460
Provider Name
Modern Era Pediatric Practice
Credential
Provider Entity Type
Organization
Address
3715 Main St, Bridgeport, CT, 06606-3618
Phone Number
203-371-4800
Fax Number
203-371-4900
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001352799 05 CT
institution
Provider Business Practice Location Address Details
Address
3715 Main St
City
State
Zip
06606-3618
Phone Number
203-371-4800
Fax Number
203-371-4900
person
Provider Business Mailing Address Details
Address
3715 Main St
City
State
Zip
06606-3618
Phone Number
203-371-4800
Fax Number
203-371-4900
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
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Definition
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.
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