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ANN NICOLOFF BECKER MD LLC NPI 1285829887


NPI Information

NPI: 1285829887
Provider Name: ANN NICOLOFF BECKER, MD, LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 22D1046048

Address:
332 WASHINGTON ST
SUITE 275
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-7730
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ANN NICOLOFF BECKER, MD, LLC is an adolescent medicine pediatrics in Wellesley, MA. 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. ANN NICOLOFF BECKER, MD, LLC NPI is 1285829887. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

332 WASHINGTON ST
SUITE 275
WELLESLEY, MA
ZIP 02481-219
Phone: (781) 235-7730
Fax: (781) 235-7739

The provider's authorized official is Ann Nicoloff Becker .
The authorized official title is Owner and has the following contact phone number (781) 235-7730.

The CLIA number assigned to this NPI record is 22D1046048 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.


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 Medicine73532MASSACHUSETTSYes

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
19744550MEDICAIDMASSACHUSETTS

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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