Organization Name: | CLINICAL CENTER FOR NEOPLASTIC DISEASES, P.C. |
NPI Number: | 1164545810 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA WATSON (OFFICE MNAGER) |
Mailing Address: | 158 Main St Ansonia |
State: | CT US |
Postal Code: | 064011836 |
Phone Number: | 2037358783 |
Fax Number: | 2037323692 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist 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. |