Provider Demographics
NPI:1457020216
Name:FIG HEALTH PEDIATRICS LLC
Entity Type:Organization
Organization Name:FIG HEALTH PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTA-COBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-393-0266
Mailing Address - Street 1:43 EDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3849
Mailing Address - Country:US
Mailing Address - Phone:860-899-1296
Mailing Address - Fax:
Practice Address - Street 1:55 NYE RD STE 105
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-1281
Practice Address - Country:US
Practice Address - Phone:860-375-5088
Practice Address - Fax:860-590-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty