Gales Ferry Pediatric Group
Organization Active NPI Medical Specialty Clinic/Center · Gales Ferry, CT
NPI 1245372176 · NPPES record last updated Dec 28, 2011
Key facts
- NPI
- 1245372176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- GALES FERRY PEDIATRIC GROUP
- Practice address
- 1527 Route 12
Gales Ferry, CT 06335-1800 - Phone
- (860) 464-7248
- Fax
- (860) 464-0125
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Charles Robert Esposito, M.D.
- Title
- Physician/Owner
- Phone
- (860) 464-7248
Practitioners 5
-
Charles R Esposito, M.D.
-
John P Ancona, M.D.
-
Phyllis A. Holtzman, M.D.
-
Jennifer R. Lovin, M.D.
-
Mark A. Rosenthal, M.D.
National Provider Directory
Locations
1527 Route 12
Gales Ferry, CT 06335
Phone (860) 464-7248
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | CT | Yes |
Addresses
Primary practice location
1527 Route 12
Gales Ferry, CT 06335-1800
Mailing address
1527 Route 12
PO Box 608
Gales Ferry, CT 06335-0608
Phone (860) 464-7248
Other providers in Gales Ferry, CT
- Michael Fogge
- Steven H. Forstein
- Marjorie Foxon
- Gales Ferry Medical Group LLC
- Gales Ferry Orthodontics LLC
- Mary Gilbert
- Andrew Roger Goldman
- Sanford Alan Greenhouse
- Randall D. Harris
- Marie Antointeet Healy
All providers in Gales Ferry, CT · Medical Specialty Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 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.