Patrick M Alvino, M.D.
Individual provider Active NPI Pediatric Adolescent Medicine Physician · Branford, CT
NPI 1104861434 · NPPES record last updated Sep 29, 2011
Key facts
- NPI
- 1104861434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- 026811 (CT)
- Practice address
- 784 E Main St
Branford, CT 06405-2918 - Phone
- (203) 481-7008
- Fax
- (203) 315-2712
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026811 | CT | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Branford Pediatrics & Allergy, P.C. | Adolescent Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 026811 | CT | Yes |
Addresses
Primary practice location
784 E Main St
Branford, CT 06405-2918
Mailing address
784 E Main St
Branford, CT 06405-2918
Phone (203) 481-7008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001268110 | Medicaid | CT |
Other providers in Branford, CT
- Taylor Alessi
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- Edgar Almanzar
- Carol Altermatt
- Dmitri Alvarado
- Ambulatory Anesthesia Associates, PC
- Chaylea Amendola
- American Natural Health Care and Medicine, LLC
- Jennifer Lynn Anastasio
- Alyssa A Anderson
All providers in Branford, CT · Pediatric Adolescent Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.