OrganizationActive
Enfield Pediatric Associates,p.c.
NPI 1225319445 · Pediatric Adolescent Medicine Physician · Enfield, CT
Provider details
- NPI number
- 1225319445
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ross Porter, President(860) 749-3169
- License
- 032642 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
155 Hazard Ave Ste 14
Enfield, CT 06082-4586
Phone: (860) 749-3169
Approximate (ZIP-level) locationGet directions
Mailing address
155 Hazard Ave Ste 14
Enfield, CT 06082-4586
Registry dates
- Enumerated
- 2011-09-01
- Last updated
- 2011-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.