SANDWICH PEDIATRICS NPI 1497960215

NPI Information

SANDWICH PEDIATRICS is an adolescent medicine pediatrics in Sandwich, 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. SANDWICH PEDIATRICS NPI is 1497960215. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

449 ROUTE 130
SANDWICH, MA
ZIP 02563-339
Phone: (508) 888-8430
Fax: (508) 888-6673

The provider's authorized official is Marianne Sarah Koenig .
The authorized official title is Owner and has the following contact phone number (508) 888-8430.

The CLIA number assigned to this NPI record is 22D0716375 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2007 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:

Other Identifiers

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