NPI 1265472583
Pediatric & Adolescent Medicine
Practice location
- Address
- 580 Burnside Ave Suite 3, East Hartford, CT 06108-3579
- Phone
- (860) 282-7128
- Fax
- (860) 646-1261
Authorised official
- Name
- Shaheen Ahmed
- Title
- Owner
- Phone
- (860) 643-5218
Registered specialties (4)
Internal Medicine Physician
Primary
Family Medicine Physician
Pediatrics Physician
Family Nurse Practitioner
Registry record
- NPI
- 1265472583
- Entity type
- Organization
- NPI issued
- 7 Jun 2006
- Record last updated
- 16 Dec 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.