MARLBORO PEDIATRICS PC NPI 1326082652

NPI Information

NPI: 1326082652
Provider Name: MARLBORO PEDIATRICS PC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
320 BOLTON ST
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 460-9670
Get Directions

MARLBORO PEDIATRICS PC is an adolescent medicine pediatrics in Marlborough, 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. MARLBORO PEDIATRICS PC NPI is 1326082652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 BOLTON ST
MARLBOROUGH, MA
ZIP 01752-980
Phone: (508) 460-9670
Fax: (508) 460-0357

The provider's authorized official is Ricardo Lewitus .
The authorized official title is President and has the following contact phone number (508) 460-9670.

The enumeration date for this NPI number is 6/16/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9772707	MEDICAID	MASSACHUSETTS

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: 5/5/2024

NPI Synchronization or Removal

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