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PEDIATRIC ASSOCIATES OF GREATER SALEM INC NPI 1134191125


NPI Information

NPI: 1134191125
Provider Name: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0073627

Address:
84 HIGHLAND AVE
SUITE 101
SALEM, MA
ZIP 01970
Phone: (978) 745-3050
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PEDIATRIC ASSOCIATES OF GREATER SALEM, INC is a pediatrics in Salem, 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. PEDIATRIC ASSOCIATES OF GREATER SALEM, INC NPI is 1134191125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

84 HIGHLAND AVE
SUITE 101
SALEM, MA
ZIP 01970-727
Phone: (978) 745-3050
Fax: (978) 744-9594

The provider's authorized official is Mark Mckenna .
The authorized official title is Cfo and has the following contact phone number (978) 745-3050.

The CLIA number assigned to this NPI record is 22D0073627 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 4/7/2022.


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

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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