Provider Demographics
NPI:1427275635
Name:CHILDREN'S MEDICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:CHILDREN'S MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-734-1644
Mailing Address - Street 1:20 WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1163
Mailing Address - Country:US
Mailing Address - Phone:203-734-1644
Mailing Address - Fax:203-734-9222
Practice Address - Street 1:20 WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-1163
Practice Address - Country:US
Practice Address - Phone:203-734-1644
Practice Address - Fax:203-734-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty