Active NPIOrganization

Child & Adolescent Health Care

Pediatrics in Waterbury, Connecticut

NPI Number1497937411
Practice location
179 Roseland Ave, Waterbury, CT 06710
Fax
203-574-2251
Last updated
March 30, 2012

Child & Adolescent Health Care is a healthcare organization based in Waterbury, CT. Child & Adolescent Health Care practices in Waterbury, CT. The NPI Number for Child & Adolescent Health Care is 1497937411 and holds a License No. 000431 (CT). The current practice location address for Child & Adolescent Health Care is 179 Roseland Ave, Waterbury, CT 06710 and can be reached out via phone at 203-574-4747 and via fax at 203-574-2251.

Provider Profile Details

NPI Number
1497937411
Provider Name
Child & Adolescent Health Care
Provider Entity Type
Organization
Address
179 Roseland Ave, Waterbury, CT 06710
Phone Number
203-574-4747
Fax Number
203-574-2251
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Jane Rudolph, MD · Owner · 203-574-4747
Provider Enumeration Date
November 30, 2007
Last Update Date
March 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Roseland Ave
Waterbury, CT 06710
Zip
06710
Phone Number
203-574-4747
Fax Number
203-574-2251
Waterbury, CT 06710Get directions →

Provider Business Mailing Address Details

Address
179 Roseland Ave
Waterbury, CT 06710
City
Waterbury
State
CT
Zip
06710
Phone Number
203-574-4747
Fax Number
203-574-2251

License Information

License Number
000431
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Child & Adolescent Health Care?

The NPI number of Child & Adolescent Health Care is 1497937411. It was assigned on November 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Child & Adolescent Health Care?

Child & Adolescent Health Care is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 000431.

Where does Child & Adolescent Health Care practice?

The practice location is 179 Roseland Ave, Waterbury, CT 06710. The office can be reached at 203-574-4747 (phone) or 203-574-2251 (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 1497937411 directly on the NPPES registry website.

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