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Contact Information

BOLTON STREET PEDIATRICS PC
320 BOLTON ST
MARLBOROUGH, MA01752-3988
 Phone: 508-460-9670
 Fax: 508-460-0357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BOLTON STREET PEDIATRICS PC · (Female)

NPI Number 1336486869
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2013
Last updated 01/03/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 59542
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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