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Contact Information

BRIDGEWATER PEDIATRICS LLC
1029 PLEASANT ST
SUITE 100
BRIDGEWATER, MA02324
 Phone: 508-697-8116
 Fax: 508-697-8117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRIDGEWATER PEDIATRICS LLC

NPI Number 1255579975
LBN Legal business name BRIDGEWATER PEDIATRICS LLC
Authorized official FRED KERN - (MANAGING OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2009
Last updated 08/10/2016 - About 10 years ago
Identifiers
MA License # 57747
Other J06281 BCBS
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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