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Contact Information

ICCD PARTNERS
340 TURNPIKE ST
CANTON, MA02021-2700
 Phone: 781-619-1500
 Fax: 617-527-0640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical Genetics (M.D.)

207SG0201X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ICCD PARTNERS · (Female)

NPI # 1043529498
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2010
Last updated 10/04/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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