Organization
GL PEDIATRICS INC
Active
Other names
GREATER LOWELLPEDIATRICS,INC.
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BOUSIOS (PRACTICE ADMINISTRATOR)
(978) 452-2200
Entity
Organization
Contact information
Practice address
33 BARTLETT ST, SUITE 305, LOWELL, MA 01852-1334
(978) 452-2200
(978) 441-2550
Mailing address
33 BARTLETT ST, SUITE 305, LOWELL, MA 01852-1334
(978) 452-2200
(978) 441-2550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072646A
—
MA
01
—
M16979
BYBS
MA
Enumeration date
11/14/2006
Last updated
05/23/2024
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