Child & Adolescent Health Care
Pediatrics
Child & Adolescent Health Care is a Waterbury, Connecticut based Pediatric center with medical specialization in
General Pediatrics.
It is located at
179 Roseland Ave, Waterbury, Connecticut - 06710. They can be contacted on phone at
203-574-4747 and fax number 203-574-2251.
NPI number (Unique professional ID) for Child & Adolescent Health Care is
1497937411 which was assigned by NPPES on 30 Nov, 2007 and it was last updated on 30 Mar, 2012.
Child & Adolescent Health Care license number is
000431 for Pediatrics (208000000X) in Connecticut.
Child & Adolescent Health Care is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Child & Adolescent Health Care basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Child & Adolescent Health Care |
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Business Address:
Child & Adolescent Health Care address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 179 Roseland Ave Waterbury, CT, 06710 United States |
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Phone Number : | 203-574-4747 |
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Fax Number : | 203-574-2251 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1497937411 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 30 Nov, 2007 |
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Last Updated On : | 30 Mar, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name : | Jane Rudolph |
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Authorized Official Credential : | MD |
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Official Title or Position : | OWNER |
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Phone Number : | 203-574-4747 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Child & Adolescent Health Care are as mentioned. Primary taxonomy code for Child & Adolescent Health Care is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | 000431 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Child & Adolescent Health Care such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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4049987 | MEDICAID | CT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 179 Roseland Ave Waterbury, CT, 06710 United States |
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Phone Number : | 203-574-4747 |
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Fax Number : | 203-574-2251 |
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Business Location:
Patients can refer following map for directions to
Child & Adolescent Health Care practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.