| West Haven Pediatrics, Llc | |
|
367 Elm St 2nd Floor West Haven CT 06516-4217 | |
| (203) 932-3227 | |
| Not Available |
| Full Name | West Haven Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 367 Elm St, West Haven, Connecticut |
| Authorized Official Name and Position | Jobey Jacob (OWNER/PEDIATRICIAN) |
| Authorized Official Contact | 2039323227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Haven Pediatrics, Llc 367 Elm St 2nd Floor West Haven CT 06516-4217 Ph: (203) 932-3227 | West Haven Pediatrics, Llc 367 Elm St 2nd Floor West Haven CT 06516-4217 Ph: (203) 932-3227 |
| NPI Number | 1578095634 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578095634 | NPI | - | NPPES |
| 008061680 | Medicaid | CT | |
| 008035471 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 049082 (Connecticut) | Primary |
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