NPI: 1457020216 · GLASTONBURY, CT 06033 · Pediatrics Physician · NPI assigned 09/07/2021
| Authorized Official | ORTA-COBO, MANUEL (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 09/07/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 57 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57 | 45 | $3K |