Kids Station Pediatrics
NPI #1417153677 in Manchester, Connecticut
Provider Information
- NPI Number
- 1417153677
- Entity Type
- Organization
- Organization Name
- Kids Station Pediatrics
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Jun 25, 2007
- Last Updated
- Oct 8, 2013
Practice Location
- Address
- 191 MAIN ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-3556
- Phone
- (860) 643-7973
Authorized Official
- Name
- DR. DONALD FRANCIS MORDAVSKY, MD
- Title
- CEO
- Phone
- (860) 643-7973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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