| Baker Pediatrics, Llc | |
|
4141 Madison Ave Trumbull CT 06611-3506 | |
| (203) 371-8790 | |
| (203) 373-0463 |
| Full Name | Baker Pediatrics, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 4141 Madison Ave, Trumbull, Connecticut |
| Authorized Official Name and Position | Kathryn A. Baker (DO/OWNER) |
| Authorized Official Contact | 2033718790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Pediatrics, Llc 4141 Madison Ave Trumbull CT 06611-3506 Ph: (203) 371-8790 | Baker Pediatrics, Llc 4141 Madison Ave Trumbull CT 06611-3506 Ph: (203) 371-8790 |
| NPI Number | 1760238489 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760238489 | NPI | - | NPPES |
| 1821357039 | Medicaid | CT | |
| 1164864005 | Medicaid | CT | |
| 1447224241 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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