East Avenue Pediatrics PC

NPI #1093092165 in Norwalk, Connecticut

Provider Information

NPI Number: 1093092165
Entity Type: Organization
Organization Name: East Avenue Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Nov 3, 2011
Last Updated: Nov 3, 2011

Practice Location

Address: 148 EAST AVE
Address 2: SUITE 1L
City: Norwalk
State: Connecticut
ZIP Code: 06851-5721
Phone: (203) 854-6993

Authorized Official

Name: DR. LIBIA RUEDA-MATIK
Title: PHYSICIAN
Phone: (203) 854-6993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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