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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

NPI Number 1336486869
LBN Legal business name BOLTON STREET PEDIATRICS PC
Authorized official ODETTE SOLLA CABRERA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2013
Last updated 01/03/2013 - About 13 years ago
Identifiers
MA License # 59542
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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