| River Valley Pediatrics And Adolescent Medicine | |
|
20 Water St Chester CT 06412 | |
| (401) 490-1289 | |
| Not Available |
| Full Name | River Valley Pediatrics And Adolescent Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 20 Water St, Chester, Connecticut |
| Authorized Official Name and Position | Elizabeth Madeline Bird (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8605320525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Pediatrics And Adolescent Medicine 2 Deep Hollow Rd Chester CT 06412-1112 Ph: (860) 532-0525 | River Valley Pediatrics And Adolescent Medicine 20 Water St Chester CT 06412 Ph: (401) 490-1289 |
| NPI Number | 1639660194 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639660194 | NPI | - | NPPES |
| 008080251 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 53136 (Connecticut) | Primary |
Chester Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Main St, Chester, CT 06412 Phone: 860-526-4945 Fax: 860-358-8651 |