KIDS ON THE COMMON PEDIATRICS NPI 1215223185

NPI Information

KIDS ON THE COMMON PEDIATRICS is a primary care clinic center in Grafton, MA. KIDS ON THE COMMON PEDIATRICS NPI is 1215223185. The provider is registered as an organization entity type.

The provider's business location address is:

28 GRAFTON CMN
GRAFTON, MA
ZIP 01519-534
Phone: (508) 839-4440

The provider's authorized official is Barbara Ann Rugo-focht .
The authorized official title is Practice Owner and has the following contact phone number (508) 839-4440.

The CLIA number assigned to this NPI record is 22D2031528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2011 and was last updated on 6/20/2011.

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:

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