MEDICARE: VALLEY PEDIATRICS OF GREENWICH, LLC

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
1	302R00000X	Health Maintenance Organization	032729	CT

General Provider Information

NPI Number	:	1700022654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY PEDIATRICS OF GREENWICH, LLC

Provider Business Mailing Address
First Line	:	25 VALLEY DR
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06831-5203
Country	:	US
Telephone Number	:	203-622-4301
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 VALLEY DR
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06831-5203
Country	:	US
Telephone Number	:	203-622-4301
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. PAUL EDWARD JUAN
Credential	:
Telephone Number	:	203-622-4301

Provider Enumeration Date	:	12/24/2008
Last Update Date	:	12/24/2008

Similar Medicare Providers

1184656779 — ANDREA F DOUGLAS M.D.
Practice Location Address:

25 VALLEY DR
GREENWICH, CT
06831-5203

Practice Phone: 203-661-3333
Practice Fax: 203-661-5610

1215044672 — JESUS SANTIAGO PA
Practice Location Address:

25 VALLEY DR
GREENWICH, CT
06831-5203

Practice Phone: 203-661-3333
Practice Fax: 203-661-5610

1538210638 — FRANCIS SHIN D.D.S.
Practice Location Address:

25 VALLEY DR STE 2
GREENWICH, CT
06831-5203

Practice Phone: 203-625-0301
Practice Fax: 203-661-2699

1609000595 — LAUREN PAIGE MENDELSOHN-LEVIN M.D.
Practice Location Address:

25 VALLEY DR
GREENWICH, CT
06831-5203

Practice Phone: 203-622-4301
Practice Fax: 203-622-6343

1407086762 — CONNECTICUT SPINE INSTITUTE LLC
Practice Location Address:

25 VALLEY DR
GREENWICH, CT
06831-5203

Practice Phone: 203-661-3333
Practice Fax: 203-661-5610

1275845331 — DR. MAHSA AVA SOHRAB M.D.
Practice Location Address:

25 VALLEY DR STE 2B
GREENWICH, CT
06831-5203

Practice Phone: 203-340-1301
Practice Fax: 442-223-0286

Directions to “VALLEY PEDIATRICS OF GREENWICH, LLC ” 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.