institution
East Lyme Pediatric Clinic, Llc
Primary Care Clinic/Center in Niantic, Connecticut
NPI 1326265745

East Lyme Pediatric Clinic, Llc is a Primary Care Clinic/Center based in Niantic, CT and is specialized in Primary Care. East Lyme Pediatric Clinic, Llc practices in Niantic, CT. The NPI Number for East Lyme Pediatric Clinic, Llc is 1326265745 and holds a License No. 27074 (Connecticut).

The current practice location address for East Lyme Pediatric Clinic, Llc is 170 Flanders Rd, Niantic, CT and can be reached out via phone at 860-739-7444 and via fax at 860-739-3252.

Location: 170 Flanders Rd, Niantic, CT, 06357-1208
institution
Provider Profile Details
NPI Number
1326265745
Provider Name
East Lyme Pediatric Clinic, Llc
Credential
Provider Entity Type
Organization
Address
170 Flanders Rd, Niantic, CT, 06357-1208
Phone Number
860-739-7444
Fax Number
860-739-3252
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001365263 05 CT
institution
Provider Business Practice Location Address Details
Address
170 Flanders Rd
City
State
Zip
06357-1208
Phone Number
860-739-7444
Fax Number
860-739-3252
person
Provider Business Mailing Address Details
Address
170 Flanders Rd
City
State
Zip
06357-1208
Phone Number
860-739-7444
Fax Number
860-739-3252
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
27074 (Connecticut)
Definition
Definition to come...
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