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PORTER PEDIATRICS COMPREHENSIVE PEDIATRIC HEALTH CARE.PC NPI 1760495105


NPI Information

NPI: 1760495105
Provider Name: PORTER PEDIATRICS COMPREHENSIVE PEDIATRIC HEALTH CARE.PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D1048763

Address:
354 TREMONT ST
BOSTON, MA
ZIP 02116
Phone: (617) 426-9200
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PORTER PEDIATRICS COMPREHENSIVE PEDIATRIC HEALTH CARE.PC is a pediatrics in Boston, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PORTER PEDIATRICS COMPREHENSIVE PEDIATRIC HEALTH CARE.PC NPI is 1760495105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

354 TREMONT ST
BOSTON, MA
ZIP 02116-538
Phone: (617) 426-9200
Fax: (617) 426-9201

The provider's authorized official is Lynn S Porter .
The authorized official title is President and has the following contact phone number (617) 426-9200.

The CLIA number assigned to this NPI record is 22D1048763 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/15/2006 and was last updated on 12/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics80061MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G73617MEDICARE UPINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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