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TOWN CENTER PEDIATRICS NPI 1992800957


NPI Information

NPI: 1992800957
Provider Name: TOWN CENTER PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0938138

Address:
162 CORDAVILLE RD
SUITE 185
SOUTHBOROUGH, MA
ZIP 01772
Phone: (508) 229-8811
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TOWN CENTER PEDIATRICS is a pediatrics in Southborough, 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. TOWN CENTER PEDIATRICS NPI is 1992800957. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

162 CORDAVILLE RD
SUITE 185
SOUTHBOROUGH, MA
ZIP 01772-838
Phone: (508) 229-8811
Fax: (508) 229-0666

The provider's authorized official is Ruth Spaulding .
The authorized official title is Office Manager and has the following contact phone number (508) 229-8811.

The CLIA number assigned to this NPI record is 22D0938138 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 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
144778OTHERFALLON COMMUNITY HEALTH P
2M16823OTHERMASSACHUSETTSBLUECROSS BLUE SHIELD
3615411OTHERTUFTS HEALTH PLAN
49783164MEDICAIDMASSACHUSETTS

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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