MAIN STREET PEDIATRICS NPI 1720112865

NPI Information

  • NPI: 1720112865
  • Provider Name: MAIN STREET PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 77 W MAIN ST
    HOPKINTON, MA
    ZIP 01748
  • Phone: (508) 435-5506

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NPI Details

MAIN STREET PEDIATRICS is a pediatrics in Hopkinton, 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. MAIN STREET PEDIATRICS NPI is 1720112865. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

77 W MAIN ST
HOPKINTON, MA
ZIP 01748-684
Phone: (508) 435-5506

The provider's authorized official is Robert Drew Basow .
The authorized official title is Part Owner and has the following contact phone number (508) 435-5506.

The enumeration date for this NPI number is 3/14/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMASSACHUSETTSYes

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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