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WAKEFIELD PEDIATRICS LLC NPI 1013015791


NPI Information

NPI: 1013015791
Provider Name: WAKEFIELD PEDIATRICS, LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
46 HOLLEY ST
SUITE 2
WAKEFIELD, RI
ZIP 02879
Phone: (401) 783-8008
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WAKEFIELD PEDIATRICS, LLC is an adolescent medicine pediatrics in Wakefield, RI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. WAKEFIELD PEDIATRICS, LLC NPI is 1013015791. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

46 HOLLEY ST
SUITE 2
WAKEFIELD, RI
ZIP 02879-325
Phone: (401) 783-8008
Fax: (401) 783-8156

The provider's authorized official is Lauren C. Noel .
The authorized official title is Llc Member and has the following contact phone number (401) 783-8008.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


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
12080A0000XPediatricsAdolescent MedicineYes

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: 11/14/2023

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