Suffield Pediatric and Adolescent Medicine Pllc
NPI #1841075264 in Suffield, Connecticut
Provider Information
- NPI Number
- 1841075264
- Entity Type
- Organization
- Organization Name
- Suffield Pediatric and Adolescent Medicine Pllc
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Aug 25, 2023
- Last Updated
- Aug 25, 2023
Practice Location
- Address
- 230C MOUNTAIN RD
- City
- Suffield
- State
- Connecticut
- ZIP Code
- 06078-3019
- Phone
- (860) 836-5416
Authorized Official
- Name
- MELISSA J LEE, APRN
- Title
- OWNER
- Phone
- (860) 836-5416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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