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ARLINGTON PEDIATRIC ASSOCIATES P.C. NPI 1316094782


NPI Information

NPI: 1316094782
Provider Name: ARLINGTON PEDIATRIC ASSOCIATES, P.C.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 22D1021176

Address:
5 WATER ST
ARLINGTON, MA
ZIP 02476
Phone: (781) 641-5800
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ARLINGTON PEDIATRIC ASSOCIATES, P.C. is an adolescent medicine pediatrics in Arlington, 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. ARLINGTON PEDIATRIC ASSOCIATES, P.C. NPI is 1316094782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 WATER ST
ARLINGTON, MA
ZIP 02476-807
Phone: (781) 641-5800
Fax: (339) 707-6028

The provider's authorized official is Elizabeth Landis .
The authorized official title is President and has the following contact phone number (781) 641-5800.

The CLIA number assigned to this NPI record is 22D1021176 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2007 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

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
19719920MEDICAIDMASSACHUSETTS
20031840OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
3M18391OTHERMASSACHUSETTSBLUE CROSS
4698924OTHERMASSACHUSETTSTUFTS HEALTH PLAN

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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