Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODERN ERA PEDIATRIC PRACTICE
Active OrganizationMODERN ERA PEDIATRIC PRACTICE is a Adolescent Medicine (Pediatrics) organization located in BRIDGEPORT, Connecticut. NPI 1194817460 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1194817460
- Provider Type
- Organization
- NPI Issued
- Sep 28, 2006 (19.914286671789 yrs)
- Last Updated
- Nov 9, 2012
Practice Information
- Address
-
3715 MAIN STSUITE 403BRIDGEPORT, CT, 066063618Browse CT providers · Browse ZIP 06606
- Phone
- 2033714800
- Fax
- 2033714900
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.