Active NPIOrganization

Candlewood Valley Pediatrics, P.c.

Pediatrics in New Milford, Connecticut

NPI Number1811021066
Practice location
120 Park Lane RD Ste A101, New Milford, CT 06776-2444
Fax
860-355-3856
Last updated
August 22, 2020

Candlewood Valley Pediatrics, P.c. is a healthcare organization based in New Milford, CT. Candlewood Valley Pediatrics, P.c. practices in New Milford, CT. The NPI Number for Candlewood Valley Pediatrics, P.c. is 1811021066. The current practice location address for Candlewood Valley Pediatrics, P.c. is 120 Park Lane RD Ste A101, New Milford, CT 06776-2444 and can be reached out via phone at 860-355-8190 and via fax at 860-355-3856.

Provider Profile Details

NPI Number
1811021066
Provider Name
Candlewood Valley Pediatrics, P.c.
Provider Entity Type
Organization
Address
120 Park Lane RD Ste A101, New Milford, CT 06776-2444
Phone Number
860-355-8190
Fax Number
860-355-3856
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Mrs. Marilyn C Decrescenzo · Managed Care Coordinator · 860-355-8190
Other Names
Candlewood Valley Pediatrics (Former Legal Business Name)
Provider Enumeration Date
March 16, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Park Lane RD Ste A101
New Milford, CT 06776-2444
Zip
06776-2444
Phone Number
860-355-8190
Fax Number
860-355-3856
New Milford, CT 06776Get directions →

Provider Business Mailing Address Details

Address
120 Park Lane RD Ste A101
New Milford, CT 06776-2444
City
New Milford
State
CT
Zip
06776-2444
Phone Number
860-355-8190
Fax Number
860-355-3856

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 Candlewood Valley Pediatrics, P.c.?

The NPI number of Candlewood Valley Pediatrics, P.c. is 1811021066. It was assigned on March 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Candlewood Valley Pediatrics, P.c.?

Candlewood Valley Pediatrics, P.c. is registered under the primary taxonomy Pediatrics (code 208000000X).

Where does Candlewood Valley Pediatrics, P.c. practice?

The practice location is 120 Park Lane RD Ste A101, New Milford, CT 06776-2444. The office can be reached at 860-355-8190 (phone) or 860-355-3856 (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 1811021066 directly on the NPPES registry website.

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