National Provider Identifier Database

PEDIATRIC DEVELOPMENT CENTER
Voluntary or Charitable


Contact Information

PEDIATRIC DEVELOPMENT CENTER
388 COLUMBUS AVE
PITTSFIELD, MA01201-4903
Phone: 413-499-4537
Fax: 413-448-8223
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC DEVELOPMENT CENTER

NPI Number 1962579151
Legal business name
LBN
PEDIATRIC DEVELOPMENT CENTER
Authorized official MAUREEN ATWOOD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/30/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 356074
  • MA Medicaid: 1800701

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.

Reviews for PEDIATRIC DEVELOPMENT CENTER

There are currently no reviews for PEDIATRIC DEVELOPMENT CENTER


NPIdb - Home
v2.201