Pediatrics, Adolescent Medicine
MODERN ERA PEDIATRIC PRACTICE
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 Plan acceptance stays unpublished until the practice reports it.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 1194817460 · enumerated 2006-09-28 · record updated 2012-11-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. ANSELM ANYOHA MD, Medical Director · (203) 371-4800
Addresses and phones
- Practice location 3715 MAIN ST, SUITE 403, BRIDGEPORT, CT, 06606-3618 (203) 371-4800 Fax (203) 371-4900 Google Maps Apple Maps OpenStreetMap
- Mailing address 3715 MAIN ST, SUITE 403, BRIDGEPORT, CT, 06606-3618 (203) 371-4800 Fax (203) 371-4900 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Adolescent Medicine 2080A0000X · Primary
In this directory
CT Fairfield County Bridgeport Pediatrics, Adolescent Medicine
Locations and evidence
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Practice location
BRIDGEPORT, CT, 066063618
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.