Doctor Name: | DR. KERI ANN WALLACE |
NPI Number: | 1205807179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 046025 |
Business Practice Address: | 282 Washington St Ccmc, Primary Care Center, 1f Hartford, CT - 061063322 |
Business Phone Number: | 8605459333 |
Business Fax Number: | 8605459301 |
Mailing Address: | 282 Washington St, Ccmc, Primary Care Center, 1f HARTFORD |
State: | CT |
Postal Code: | 061063322 |
Phone Number: | 8605459333 |
Fax Number: | 8605459301 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 046025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician 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. |