Healthcare Provider Details

I. General information

NPI: 1487544219
Provider Name (Legal Business Name): CAMBI PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149D BOSTON POST RD
OLD LYME CT
06371-1348
US

IV. Provider business mailing address

PO BOX 340
OLD LYME CT
06371-0340
US

V. Phone/Fax

Practice location:
  • Phone: 203-623-6042
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHRYN CAMBI
Title or Position: OWNER
Credential: MD
Phone: 203-623-6042