Organization
FRANK X. PEDLOW JR, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK X PEDLOW JR. M.D. (OWNER)
(617) 227-9300
Entity
Organization
Contact information
Practice address
30 LANCASTER ST, 2ND FLR, BOSTON, MA 02114-1704
(617) 227-9300
(617) 227-3800
Mailing address
PO BOX 86, HINGHAM, MA 02043-0086
(781) 749-9071
(781) 749-2133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
79694
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
729566
TUFTS
MA
05
—
9728236
—
MA
01
—
F82731
HPHC
MA
01
—
M18198
BCBS MA
MA
Enumeration date
10/07/2005
Last updated
07/29/2010
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