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MILTON PEDIATRIC ASSOCIATES LLC NPI 1013986694


NPI Information

NPI: 1013986694
Provider Name: MILTON PEDIATRIC ASSOCIATES LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0858180

Address:
340 WOOD ROAD
SUITE 301
BRAINTREE, MA
ZIP 02184
Phone: (781) 356-6200
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MILTON PEDIATRIC ASSOCIATES LLC is a pediatrics in Braintree, 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. MILTON PEDIATRIC ASSOCIATES LLC NPI is 1013986694. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 WOOD ROAD
SUITE 301
BRAINTREE, MA
ZIP 02184
Phone: (781) 356-6200
Fax: (781) 356-6299

The provider's authorized official is Rebecca Niloff .
The authorized official title is Cmo and has the following contact phone number (781) 356-6200.

The CLIA number assigned to this NPI record is 22D0858180 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/16/2006 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
1208000000XPediatricsYes

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
19738444MEDICAIDMASSACHUSETTS
2M18902OTHERMASSACHUSETTSBLUE SHIELD
3056054OTHERMASSACHUSETTSTUFTS

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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