NPI 1164495586

Robert Myron Elisofon, MD

Practitioner Pediatrics Physician Ridgefield, CT

Practice location

Address: 38 B Grove St, Ridgefield, CT 06877
Phone: (203) 438-9557
Fax: (203) 438-7857
Mailing address: 38 B Grove St Ridgefield Pediatric Associates, Ridgefield, CT 06877

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 016398 (CT)

Other Pediatrics providers in Connecticut →

Registry record

NPI: 1164495586
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2006
Record last updated: 8 Jul 2007

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.