DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CONNECTICUT NEURODEVELOPMENTAL SERVICES

Active Organization

Neurology with Special Qualifications in Child Neurology · WATERBURY, CT

Registration Details

NPI Number
1467527580
Provider Type
Organization
NPI Issued
Nov 22, 2006 (19.414547539201 yrs)
Last Updated
Sep 30, 2013
Licenses
030847 (CT)
030847 (CT)
003467 (CT)
003467 (CT)
004478 (CT)

Practice Information

Address
134 GRANDVIEW AVE
WATERBURY, CT, 067082507
Browse CT providers · Browse ZIP 06708
Phone
2037553279
Fax
2037553057
Additional Specialty
Pediatrics
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Pediatric Nurse Practitioner
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.