Dr. Jonathan Robert Reidel
MD | Pediatrics | Male
Dr. Jonathan Robert Reidel, MD is a Newington, Connecticut based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jonathan Robert Reidel is
375 Willard Ave, Grove Hill Medical Center, Newington, Connecticut - 06111-2300. He can be contacted on phone at
860-666-5167 and fax number 860-665-8168.
Dr. Jonathan Robert Reidel is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jonathan Robert Reidel is
1184793481 which was assigned by NPPES on 08 Nov, 2006 and it was last updated on 01 Apr, 2013.
Dr. Jonathan Robert Reidel license number is
044890 for Pediatrics (208000000X) in Connecticut.
Dr. Jonathan Robert Reidel 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:
Dr. Jonathan Robert Reidel basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Jonathan Robert Reidel |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Jonathan Robert Reidel 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 : | 375 Willard Ave, Grove Hill Medical Center
Newington, CT, 06111-2300
United States |
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| Phone Number : | 860-666-5167 |
|---|
| Fax Number : | 860-665-8168 |
|---|
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 : | 1184793481 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Nov, 2006 |
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| Last Updated On : | 01 Apr, 2013 |
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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 Dr. Jonathan Robert Reidel are as mentioned. Primary taxonomy code for Dr. Jonathan Robert Reidel, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 044890 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jonathan Robert Reidel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 010044890CT01 | Other | CT | BCBS & BCFP PROV ID |
| 369523 | Other | CT | WELLCARE MEDICARE |
| 7615732 | Other | CT | CIGNA |
| P3735238 | Other | CT | OXFORD |
| 001448902 | MEDICAID | CT | |
| 1470175 | Other | CT | AETNA |
| 227660 | Other | CT | CONNECTICARE |
| 2V8732 | Other | CT | HEALTH NET |
| 004195930 | MEDICAID | CT | |
| 1255448155 | Other | CT | GHMC GROUP NPI ID |
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 : | 375 Willard Ave, Grove Hill Medical Center
Newington, CT, 06111-2300
United States |
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| Phone Number : | 860-666-5167 |
|---|
| Fax Number : | 860-665-8168 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Jonathan Robert Reidel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.