Pediatrics, Adolescent Medicine
KIDS STATION PEDIATRICS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417153677 · enumerated 2007-06-25 · record updated 2013-10-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. DONALD MORDAVSKY MD, CEO · (860) 643-7973
Addresses and phones
- Mailing address 191 MAIN ST, MANCHESTER, CT, 06042-3556 (860) 643-7973 Fax (860) 643-0175 Google Maps Apple Maps OpenStreetMap
- Practice location 191 MAIN ST, MANCHESTER, CT, 06042-3556 (860) 643-7973 Fax (860) 643-0175 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X
- Pediatrics, Adolescent Medicine 2080A0000X · Primary
In this directory
CT Hartford County Manchester Pediatrics, Adolescent Medicine
Locations and evidence
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Practice location
MANCHESTER, CT, 060423556
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.