OrganizationActive
Choate Rosemary Hall Foundation
NPI 1609186816 · Pediatric Adolescent Medicine Physician · Wallingford, CT
Provider details
- NPI number
- 1609186816
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- E. Benjamin Gardner, Director of Health Services(203) 697-2203
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
333 Christian Street
Wallingford, CT 06492
Phone: (203) 697-2203
Fax: (203) 697-2294
Approximate (ZIP-level) locationGet directions
Mailing address
333 Christian Street
Wallingford, CT 06492
Registry dates
- Enumerated
- 2010-10-21
- Last updated
- 2010-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.