Childrens Health Service

Organization Active NPI Pediatric Adolescent Medicine Physician · Weston, CT

NPI 1205901758 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1205901758
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Adolescent Medicine Physician 2080A0000X
Legal business name
CHILDRENS HEALTH SERVICE
Practice address
4 Goodhill Rd
Weston, CT 06883
Phone
(203) 226-3035
Fax
(203) 221-1736
NPI assigned
Nov 21, 2006
Organization subpart
No

Authorized official

Name
Dr. Gerald Lieberman, MD
Title
Owner
Phone
(203) 226-3035

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2080A0000X Yes

Addresses

Primary practice location

4 Goodhill Rd
Weston, CT 06883

Mailing address

4 Goodhill Rd
Weston, CT 06883
Phone (203) 226-3035

Other providers in Weston, CT

All providers in Weston, CT · Pediatric Adolescent Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.