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Organization

REVERE WINTHROP PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AILISH M HAYES MD (MD PRESIDENT)
(781) 289-5057
Entity
Organization

Contact information

Practice address
280 BEACH STREET, REVERE, MA 02151
(781) 289-5057
(781) 289-4485
Mailing address
280 BEACH STREET, REVERE, MA 02151
(781) 289-5057
(781) 289-4485

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
11/17/2006
Last updated
12/10/2007
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