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Organization
ADVANCED MOBILE PEDIATRICS PLCC
Active
Organization
ADVANCED MOBILE PEDIATRICS PLCC
Active
Other names
Advanced Mobile Pediatrics PLCC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC J HEBERT CNP (OWNER/NURSE PRACTITIONER)
(413) 726-1390
Entity
Organization
Contact information
Practice address
50 TOWER HILL RD, BRIMFIELD, MA 01010-9756
(413) 726-1390
Mailing address
50 TOWER HILL RD, BRIMFIELD, MA 01010-9756
(413) 726-1390
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110124332
—
MA
Enumeration date
04/13/2021
Last updated
04/13/2021
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