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Organization
ALLIED PEDIATRICS OF GREATER BROCKTON INC.
Active
Organization
ALLIED PEDIATRICS OF GREATER BROCKTON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALVAREZ MD (VICE PRESIDENT)
(508) 427-7700
Entity
Organization
Contact information
Practice address
179 QUINCY ST, BROCKTON, MA 02302-2966
(508) 427-7700
Mailing address
179 QUINCY ST, BROCKTON, MA 02302-2966
(508) 427-7700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9780122
—
MA
01
—
M16595
BLUE CROSS GROUP NUMBER
MA
Enumeration date
09/26/2006
Last updated
08/22/2020
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