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PEDIATRICS INC NPI 1417965617


NPI Information

NPI: 1417965617
Provider Name: PEDIATRICS INC

Other Name: STONEHAM PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0970227

Address:
577 MAIN ST
STONEHAM, MA
ZIP 02180
Phone: (781) 438-7330
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PEDIATRICS INC is a pediatrics in Stoneham, 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. PEDIATRICS INC NPI is 1417965617. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Stoneham Pediatrics.

The provider's business location address is:

577 MAIN ST
STONEHAM, MA
ZIP 02180
Phone: (781) 438-7330
Fax: (781) 279-4046

The provider's authorized official is Mirna Aeschlimann .
The authorized official title is President and has the following contact phone number (781) 438-7330.

The CLIA number assigned to this NPI record is 22D0970227 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/3/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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
19768904MEDICAIDMASSACHUSETTS

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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