Center for Pediatric Medicine

NPI #1861530750 in Danbury, Connecticut

Provider Information

NPI Number: 1861530750
Entity Type: Organization
Organization Name: Center for Pediatric Medicine
Primary Specialty: Pediatrics
Enumeration Date: Feb 2, 2007
Last Updated: Feb 13, 2013

Practice Location

Address: 107 NEWTOWN ROAD
Address 2: CENTER FOR PEDIATRIC MEDICINE PC SUITE 1D
City: Danbury
State: Connecticut
ZIP Code: 06810-4146
Phone: (203) 790-0822

Authorized Official

Name: JOAN A MAGNER, MD
Title: PRESIDENT
Phone: (203) 790-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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