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Contact Information

REVERE WINTHROP PEDIATRICS
280 BEACH STREET
REVERE, MA02151
 Phone: 781-289-5057
 Fax: 781-289-4485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for REVERE WINTHROP PEDIATRICS

NPI # 1083788756
LBN Legal business name REVERE WINTHROP PEDIATRICS
Authorized official AILISH HAYES - (MD PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 12/10/2007 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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