East Lyme Pediatric Clinic, LLC
East Lyme Pediatric Clinic, LLC is a Primary Care Clinic/Center in Niantic, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
170 Flanders RdNiantic, CT 06357-1208
Phone: (860) 739-7444
Fax: (860) 739-3252
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 27074 (CT) |
|---|
Record details
| NPI number | 1326265745 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sajda Malik — Member · (860) 739-7444 |
| Other names | East Lyme Pediatric Clinic |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | March 19, 2013 |
| Mailing address | 170 Flanders Rd, Niantic, CT 06357-1208 |