New Haven Pediatric & Adolescent Medical Serv
Pediatrics
New Haven Pediatric & Adolescent Medical Serv is a New Haven, Connecticut based Pediatric center with medical specialization in
General Pediatrics. New Haven Pediatric & Adolescent Medical Serv is doing business as
Tamiko V Jackson Md.
It is located at
1423 Chapel St, Unit 2b, New Haven, Connecticut - 06511. They can be contacted on phone at
203-752-0706 and fax number 203-772-0387.
NPI number (Unique professional ID) for New Haven Pediatric & Adolescent Medical Serv is
1962680934 which was assigned by NPPES on 01 Feb, 2008 and it was last updated on 01 Feb, 2008.
New Haven Pediatric & Adolescent Medical Serv license number is
0136872 for Pediatrics (208000000X) in Connecticut.
New Haven Pediatric & Adolescent Medical Serv 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:
New Haven Pediatric & Adolescent Medical Serv basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | New Haven Pediatric & Adolescent Medical Serv |
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| Other Name : | Tamiko V Jackson Md |
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Business Address:
New Haven Pediatric & Adolescent Medical Serv 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 : | 1423 Chapel St, Unit 2b
New Haven, CT, 06511
United States |
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| Phone Number : | 203-752-0706 |
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| Fax Number : | 203-772-0387 |
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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 : | 1962680934 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Feb, 2008 |
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| Last Updated On : | 01 Feb, 2008 |
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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 : | Angel Jackson |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 203-906-3854 |
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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 New Haven Pediatric & Adolescent Medical Serv are as mentioned. Primary taxonomy code for New Haven Pediatric & Adolescent Medical Serv is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363LP0200X | Nurse Practitioner Pediatrics | No | 0002815 | CT |
| 208000000X | Pediatrics | Yes | 0136872 | 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 : | 1423 Chapel St, Unit 2b
New Haven, CT, 06511
United States |
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| Phone Number : | 203-752-0706 |
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| Fax Number : | 203-772-0387 |
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Business Location:
Patients can refer following map for directions to
New Haven Pediatric & Adolescent Medical Serv practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.