Organization Name: | PEDIATRIC WALK IN CARE LLC |
NPI Number: | 1073943668 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEMANT K PANCHAL (OWNER) |
Mailing Address: | 141 B Hazard Avenue Enfield |
State: | CT US |
Postal Code: | 060825412 |
Phone Number: | 8607497603 |
Fax Number: | 8607497604 |
NPI Enumeration Date: | 11/18/2013 |
NPI Last Update Date: | 11/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 032413 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |