DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. TIMOTHY H KENEFICK M.D.

MEDICARE: DR. TIMOTHY H KENEFICK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician028872CT
2208000000XPediatrics Physician163113NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063413854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY H KENEFICK M.D.
Provider Business Mailing Address
First Line : 126 MORGAN ST.
Second Line : THE PEDIATRIC CENTER
City : STAMFORD
State : CT
Zip : 06905-5431
Country : US
Telephone Number : 203-327-1055
Fax Number : 203-323-6177
Provider Business Practice Location Address
First Line : 126 MORGAN ST
Second Line :
City : STAMFORD
State : CT
Zip : 06905-5431
Country : US
Telephone Number : 203-327-1055
Fax Number : 203-323-6177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 04/11/2014

Similar Medicare Providers

1124092523 — DR. SANFORD LAWRENCE SWIDLER M.D.
Practice Location Address:
126 MORGAN ST
STAMFORD, CT
06905-5431
Practice Phone: 203-327-1055
Practice Fax: 203-323-6177
1740255785 — DR. MONIQUE FRANCINE GAGNON M.D.
Practice Location Address:
126 MORGAN ST
STAMFORD, CT
06905-5431
Practice Phone: 203-327-1055
Practice Fax: 203-323-6177
1750356689 — JOAN M GILDEA MA
Practice Location Address:
126 MORGAN ST
STAMFORD, CT
06905-5431
Practice Phone: 203-327-1055
Practice Fax:
1164498937 — LINDA KORNBLAU MSN
Practice Location Address:
126 MORGAN ST
STAMFORD, CT
06905-5431
Practice Phone: 203-327-1055
Practice Fax:
1669449252 — DR. SUSAN ELIZABETH LASKY D.O
Practice Location Address:
126 MORGAN ST
STAMFORD, CT
06905-5431
Practice Phone: 203-327-1055
Practice Fax:
1437113974 — DR. LISA B ROONEY MD
Practice Location Address:
126 MORGAN ST
STAMFORD, CT
06905-5431
Practice Phone: 203-327-1055
Practice Fax: 203-323-6177

Directions to “ DR. TIMOTHY H KENEFICK M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.