Provider Demographics
NPI:1417083809
Name:PEDIATRIC & ADOLESCENT HEALTHCARE, PC
Entity Type:Organization
Organization Name:PEDIATRIC & ADOLESCENT HEALTHCARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:CURTISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-735-9536
Mailing Address - Street 1:400 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-2303
Mailing Address - Country:US
Mailing Address - Phone:203-735-9536
Mailing Address - Fax:203-735-9539
Practice Address - Street 1:400 MAIN ST
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-2303
Practice Address - Country:US
Practice Address - Phone:203-735-9536
Practice Address - Fax:203-735-9539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty