MILL BROOK PEDIATRICS NPI 1609975069

NPI Information

  • NPI: 1609975069
  • Provider Name: MILL BROOK PEDIATRICS
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 22D0890854
  • Address: 490 BOSTON POST RD
    SUDBURY, MA
    ZIP 01776
  • Phone: (978) 443-0707

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NPI Details

MILL BROOK PEDIATRICS is an adolescent medicine pediatrics in Sudbury, 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. MILL BROOK PEDIATRICS NPI is 1609975069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

490 BOSTON POST RD
SUDBURY, MA
ZIP 01776
Phone: (978) 443-0707

The provider's authorized official is William Wirth .
The authorized official title is Doctor and has the following contact phone number (978) 443-0707.

The CLIA number assigned to this NPI record is 22D0890854 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 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
12080A0000XPediatricsAdolescent Medicine79768MASSACHUSETTSYes

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: 11/21/2025

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