Modern Era Pediatric Practice
Modern Era Pediatric Practice is a Pediatric Adolescent Medicine Physician in Bridgeport, Connecticut. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
3715 Main St Ste 403Bridgeport, CT 06606-3618
Phone: (203) 371-4800
Fax: (203) 371-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X |
|---|
Record details
| NPI number | 1194817460 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anselm Anyoha — Medical Director · (203) 371-4800 |
| NPI enumerated | September 28, 2006 |
| Last updated in NPPES | November 9, 2012 |
| Mailing address | 3715 Main St, Suite 403, Bridgeport, CT 06606-3618 |
Other providers in Bridgeport
-
Dr. Peter Joseph McLoughlin, MD
762 Lindley St, Bridgeport, CT 06606-5046 · (203) 576-6432
-
Joanna Zolkowski-Wynne, MD
226 Mill Hill Ave 3rd Fl, Bridgeport, CT 06610-2811 · (203) 384-3873