OrganizationActive
Pedicorp, PC
NPI 1952581928 · Pediatric Adolescent Medicine Physician · West Hartford, CT
Provider details
- NPI number
- 1952581928
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ellen Guertin, Practice Manager(860) 231-8453
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
345 N Main St
Suite 248
West Hartford, CT 06117-2515
Phone: (860) 231-8453
Fax: (860) 523-4061
Approximate (ZIP-level) locationGet directions
Mailing address
345 N Main St
West Hartford, CT 06117-2515
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.