Shoreline Pediatrics & Adolescent Medicine, P.c.
NPI #1538126941 in Madison, Connecticut
Provider Information
- NPI Number
- 1538126941
- Entity Type
- Organization
- Organization Name
- Shoreline Pediatrics & Adolescent Medicine, P.c.
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Apr 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1110 DURHAM RD
- City
- Madison
- State
- Connecticut
- ZIP Code
- 06443-1858
- Phone
- (203) 421-3600
Authorized Official
- Name
- DR. EDWARD H. GLEICH, M.D.
- Title
- PRESIDENT
- Phone
- (203) 421-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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