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Contact Information

ANDOVER PEDIATRICS
203 TURNPIKE ST
SUITE 200
NORTH ANDOVER, MA01845
 Phone: 978-475-4522
 Fax: 978-688-6047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANDOVER PEDIATRICS · (Female)

NPI # 1548393176
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2007
Last updated 01/18/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 110068132A
  • MA Medicaid 9716742
  • MA Other M13133 BC BS ID NUMBER
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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