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2505 Main St Suite 223 Stratford CT 06615-5839 | |
| (203) 375-5812 | |
| (203) 375-6027 |
| Full Name | |
|---|---|
| Speciality | Pediatrics |
| Location | 2505 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Christina M Smillie (MD) |
| Authorized Official Contact | 2033755812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2505 Main St Suite 223 Stratford CT 06615-5839 Ph: (203) 375-5812 | 2505 Main St Suite 223 Stratford CT 06615-5839 Ph: (203) 375-5812 |
| NPI Number | 1437379450 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437379450 | NPI | - | NPPES |
| 001222059-00 | Other | CT | ANTHEM MEDICAID |
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