| Sound Beach Pediatrics, LLC | |
|
2001 W Main St Suite 132 Stamford CT 06902-4501 | |
| (203) 331-2044 | |
| (475) 619-9855 |
| Full Name | Sound Beach Pediatrics, LLC |
|---|---|
| Speciality | Pediatrics |
| Location | 2001 W Main St, Stamford, Connecticut |
| Authorized Official Name and Position | Katherine Noble (MD) |
| Authorized Official Contact | 2033630123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Beach Pediatrics, LLC 2001 W Main St Suite 132 Stamford CT 06902-4501 Ph: (203) 363-0123 | Sound Beach Pediatrics, LLC 2001 W Main St Suite 132 Stamford CT 06902-4501 Ph: (203) 331-2044 |
| NPI Number | 1548625569 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 08/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548625569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 041814 (Connecticut) | Secondary |
| 208000000X | Pediatrics | (NU) | Primary |
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