East Haven Pediatrics P.c.

NPI #1376624106 in East Haven, Connecticut

Provider Information

NPI Number: 1376624106
Entity Type: Organization
Organization Name: East Haven Pediatrics P.c.
Primary Specialty: Pediatrics
Enumeration Date: Oct 18, 2006
Last Updated: Jun 14, 2012

Practice Location

Address: 300 MAIN ST
City: East Haven
State: Connecticut
ZIP Code: 06512-2904
Phone: (203) 469-8882

Authorized Official

Name: DR. SHI-JEN CHENG, M.D.
Title: PRESIDENT PEDIATRICIAN
Phone: (203) 469-8882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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