East Hartford Pediatric, Llc.
NPI #1700898764 in East Hartford, Connecticut
Provider Information
- NPI Number
- 1700898764
- Entity Type
- Organization
- Organization Name
- East Hartford Pediatric, Llc.
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Dec 2, 2014
Practice Location
- Address
- 893 MAIN ST
- Address 2
- SUITE 303
- City
- East Hartford
- State
- Connecticut
- ZIP Code
- 06108-2292
- Phone
- (860) 289-3047
Authorized Official
- Name
- DR. JAYASHREE VENKATESH, M.D.
- Title
- PHYSICIAN
- Phone
- (860) 289-3047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Community Health Worker |
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