OrganizationActive
East Hartford Pediatric, LLC.
NPI 1700898764 · Community Health Worker · East Hartford, CT
Provider details
- NPI number
- 1700898764
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Authorized official
- Jayashree Venkatesh, Physician
- License
- 002155 (CT)
Practice location
893 Main St
Suite 303
East Hartford, CT 06108-2292
Phone: (860) 289-3047
Fax: (860) 528-4735
Mailing address
21 Paul Spring Rd
Farmington, CT 06032
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2014-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.