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Organization
FELLSWAY PEDIATRICS, PC
Active
Organization
FELLSWAY PEDIATRICS, PC
Active
Other names
Brewer Nystuen Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PHILLIP BREWER M.D. (PRESIDENT/CO-OWNER)
(781) 665-4364
Entity
Organization
Contact information
Practice address
548 LEBANON ST, MELROSE, MA 02176-3226
(781) 665-4364
(781) 662-2284
Mailing address
548 LEBANON ST, MELROSE, MA 02176-3226
(781) 665-4364
(781) 662-2284
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787119
—
MA
Enumeration date
02/05/2013
Last updated
02/12/2013
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