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NEPONSET VALLEY PEDIATRICS PC NPI 1710076542


NPI Information

NPI: 1710076542
Provider Name: NEPONSET VALLEY PEDIATRICS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0971379

Address:
450 NORTH MAIN ST
SHARON, MA
ZIP 02067
Phone: (781) 784-0403
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NEPONSET VALLEY PEDIATRICS PC is a pediatrics in Sharon, 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. NEPONSET VALLEY PEDIATRICS PC NPI is 1710076542. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

450 NORTH MAIN ST
SHARON, MA
ZIP 02067
Phone: (781) 784-0403
Fax: (781) 784-0407

The provider's authorized official is Eric J Levin .
The authorized official title is President and has the following contact phone number (781) 784-0403.

The CLIA number assigned to this NPI record is 22D0971379 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 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
107930OTHERTUFTS
20473852OTHERAETNA
31240551OTHERUNITED NC
4200944OTHERHARVARD PILGRIM
5J14677OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
69786635MEDICAIDMASSACHUSETTS

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: 11/14/2023

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