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Organization
PEDIATRIC ASSOCIATES OF WELLESLEY
Active
Organization
PEDIATRIC ASSOCIATES OF WELLESLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DALE E BARRY (EXECUTIVE DIRECTOR)
(781) 736-0040
Entity
Organization
Contact information
Practice address
134 SOUTH AVE, WESTON, MA 02493-1923
(781) 736-0040
(781) 736-7929
Mailing address
134 SOUTH AVE, WESTON, MA 02493-1923
(781) 736-0040
(781) 736-7929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
713364
TUFTS HEALTH PLAN
MA
05
—
9759204
—
MA
01
—
M15807
BLUE CROSS OF MASS
MA
Enumeration date
02/09/2007
Last updated
08/22/2020
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