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Organization
MIDDLEBORO PEDIATRICS, PC
Active
Organization
MIDDLEBORO PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL GERALD BORNSTEIN M.D. (PRESIDENT)
(508) 947-0630
Entity
Organization
Contact information
Practice address
2 LAKEVILLE BUSINESS PARK, LAKEVILLE, MA 02347-1236
(508) 947-0630
(508) 947-0639
Mailing address
2 LAKEVILLE BUSINESS PARK, LAKEVILLE, MA 02347-1236
(508) 947-0630
(508) 947-0639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
713191
TUFTS HEALTH CARE GROUP #
MA
05
—
9718605
—
MA
Enumeration date
12/21/2006
Last updated
10/27/2011
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