Staywell Pediatric LLC
NPI #1255521019 in West Haven, Connecticut
Provider Information
- NPI Number
- 1255521019
- Entity Type
- Organization
- Organization Name
- Staywell Pediatric LLC
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Jul 27, 2007
- Last Updated
- Jul 27, 2007
Practice Location
- Address
- 365 ELM ST
- City
- West Haven
- State
- Connecticut
- ZIP Code
- 06516-4217
- Phone
- (203) 932-3227
Authorized Official
- Name
- DR. THOMAS ETKIN, M.D.
- Title
- OWNER
- Phone
- (230) 932-3227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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