Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Avenue Pediatrics PC

Organization Pediatrics Physician · NPI 1093092165

East Avenue Pediatrics PC is a Pediatrics Physician in Norwalk, Connecticut. Licensed in Connecticut. Registered with an NPI since 2011.

Licensed in
CT
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

148 E Ave Ste 1L
Norwalk, CT 06851-5721
Phone: (203) 854-6993
Fax: (203) 854-9227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 038173 (CT)

Record details

NPI number1093092165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Libia Rueda-Matik — Physician · (203) 854-6993
NPI enumeratedNovember 3, 2011
Last updated in NPPESNovember 3, 2011
Mailing address148 East Ave, Suite 1l, Norwalk, CT 06851-5721

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