PEDIATRIC ADVANCED CARE OF WEST HAVEN LLC is a pediatrics nurse practitioner in West Haven, CT. PEDIATRIC ADVANCED CARE OF WEST HAVEN LLC NPI is 1942669916. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
755 CAMPBELL AVE SUITE 2 WEST HAVEN, CT ZIP 06516-715 Phone: (203) 889-2297
The provider's authorized official is Elizabeth J Marcucio . The authorized official title is Owner and has the following contact phone number (203) 889-2297.
The CLIA number assigned to this NPI record is 07D2109806 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/18/2016 and was last updated on 4/5/2016.
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:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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