NPI 1700022654

Valley Pediatrics of Greenwich, LLC

Organisation Health Maintenance Organization Greenwich, CT

Practice location

Address: 25 Valley Dr, Greenwich, CT 06831-5203
Phone: (203) 622-4301

Authorised official

Name: Paul Edward Juan
Title: Managing Partner
Phone: (203) 622-4301

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 032729 (CT)

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Registry record

NPI: 1700022654
Entity type: Organization
NPI issued: 24 Dec 2008
Record last updated: 24 Dec 2008

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.