Active NPIOrganization

Wildwood Pediatrics And Adolescent Medicine LLC

Pediatrics in Essex, Connecticut

NPI Number1750405023
Practice location
One Wildwood Medical Center, Essex, CT 06426
Fax
860-767-1803
Last updated
August 22, 2020

Wildwood Pediatrics And Adolescent Medicine LLC is a healthcare organization based in Essex, CT. Wildwood Pediatrics And Adolescent Medicine LLC practices in Essex, CT. The NPI Number for Wildwood Pediatrics And Adolescent Medicine LLC is 1750405023. The current practice location address for Wildwood Pediatrics And Adolescent Medicine LLC is One Wildwood Medical Center, Essex, CT 06426 and can be reached out via phone at 860-767-0168 and via fax at 860-767-1803.

Provider Profile Details

NPI Number
1750405023
Provider Name
Wildwood Pediatrics And Adolescent Medicine LLC
Provider Entity Type
Organization
Address
One Wildwood Medical Center, Essex, CT 06426
Phone Number
860-767-0168
Fax Number
860-767-1803
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Christopher W Goff, MD · Partner · 860-767-0168
Provider Enumeration Date
March 19, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
One Wildwood Medical Center
Essex, CT 06426
City
Essex
Zip
06426
Phone Number
860-767-0168
Fax Number
860-767-1803
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
One Wildwood Medical Center
Essex, CT 06426
City
Essex
State
CT
Zip
06426
Phone Number
860-767-0168
Fax Number
860-767-1803

License Information

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 Wildwood Pediatrics And Adolescent Medicine LLC?

The NPI number of Wildwood Pediatrics And Adolescent Medicine LLC is 1750405023. It was assigned on March 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Wildwood Pediatrics And Adolescent Medicine LLC?

Wildwood Pediatrics And Adolescent Medicine LLC is registered under the primary taxonomy Pediatrics (code 208000000X).

Where does Wildwood Pediatrics And Adolescent Medicine LLC practice?

The practice location is One Wildwood Medical Center, Essex, CT 06426. The office can be reached at 860-767-0168 (phone) or 860-767-1803 (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 1750405023 directly on the NPPES registry website.

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