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

Shoreline Pediatrics & Adolescent Medicine, PC

Organization Pediatric Adolescent Medicine Physician · NPI 1538126941

Shoreline Pediatrics & Adolescent Medicine, PC is a Pediatric Adolescent Medicine Physician in Madison, Connecticut. Registered with an NPI since 2006.

In the registry since
2006
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

1110 Durham Rd
Madison, CT 06443-1858
Phone: (203) 421-3600
Fax: (203) 421-3627
Show map & directions

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 number1538126941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Gleich — President · (203) 421-3600
NPI enumeratedApril 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1110 Durham Rd, Madison, CT 06443-1858

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