Kristin Mcgregor
Pediatrician Adolescent Medicine
57 Jolley Dr
Bloomfield
, Connecticut 06002-3062
Kristin Mcgregor
Pediatrician Adolescent Medicine
57 Jolley Dr
Bloomfield
, Connecticut 06002-3062
(860) 769-6757
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Kristin Mcgregor
- 57 Jolley Dr
- Bloomfield, CT
- Zip : 06002-3062
- Fax : (860) 769-6757
- Phone : (860) 243-5225
Second Address
- Kristin Mcgregor
- 57 Jolley Dr
- Bloomfield, CT
- Zip : 06002-3062
- Fax : (860) 769-6757
- Phone : (860) 243-5225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 036875 | CT |
| N | 2080A0000X | Adolescent Medicine | 036875 | CT |
National Provider Identifier
| NPI | 1235152307 |
|---|---|
| Provider Name | Kristin Mcgregor |
| First Address | Bloomfield, CT 06002-3062 |
| Second Address | Bloomfield, CT 06002-3062 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 22/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001368754 | (05) | CT |
| 010036875CT01 | ANTHEM BLUE SHIELD (01) | CT |
| B82965 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.