Doctor Name: | JUDITH KAREN ADELSTEIN |
NPI Number: | 1013045277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 002754 |
Business Practice Address: | 189 Veres St Fairfield, CT - 068246447 |
Business Phone Number: | 2034647493 |
Business Fax Number: | |
Mailing Address: | 267 Grant St, BRIDGEPORT |
State: | CT |
Postal Code: | 066102805 |
Phone Number: | 2033843199 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 02/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 002754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |