CHOATE ROSEMARY HALL FOUNDATION NPI 1609186816

NPI Information

  • NPI: 1609186816
  • Provider Name: CHOATE ROSEMARY HALL FOUNDATION
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 333 CHRISTIAN STREET
    WALLINGFORD, CT
    ZIP 06492
  • Phone: (203) 697-2203

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NPI Details

CHOATE ROSEMARY HALL FOUNDATION is an adolescent medicine pediatrics in Wallingford, CT. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CHOATE ROSEMARY HALL FOUNDATION NPI is 1609186816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 CHRISTIAN STREET
WALLINGFORD, CT
ZIP 06492
Phone: (203) 697-2203
Fax: (203) 697-2294

The provider's authorized official is E. Benjamin Gardner .
The authorized official title is Director Of Health Services and has the following contact phone number (203) 697-2203.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 10/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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