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Organization
SPECIALTY WEST PLLC
Active
Organization
SPECIALTY WEST PLLC
Active
Parent organization
PEDIATRICS WEST PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRICS WEST PC
Authorized official
CARA WADE (CREDENTIALING SPECIALIST)
(978) 577-0450
Entity
Organization
Contact information
Practice address
68 TADMUCK RD STE 3, WESTFORD, MA 01886-3136
(978) 619-5447
Mailing address
133 LITTLETON RD, SUITE 103, WESTFORD, MA 01886-3115
(978) 619-5447
(978) 692-8800
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2024
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