| Organization Name: | NUTMEG PEDIATRIC PULMONARY SERVICES LLC |
| NPI Number: | 1053655548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REGINA M PALAZZO (OWNER) |
| Mailing Address: | 6 Business Park Dr Suite 202 Branford |
| State: | CT US |
| Postal Code: | 064052988 |
| Phone Number: | 2032082395 |
| Fax Number: | 2034334638 |
| NPI Enumeration Date: | 11/21/2012 |
| NPI Last Update Date: | 12/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0214X |
| License Number: | 034923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Pulmonology |
| Taxonomy Definition: | A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |