Organization
WOBURN PEDIATRIC ASSOCIATES
Active
Other names
North Andover Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETRARCA (EXECUTIVE DIRECTOR)
(781) 638-1020
Entity
Organization
Contact information
Practice address
7 ALFRED ST, BALDWIN PARK II, WOBURN, MA 01801-1976
(781) 933-6236
(781) 938-8050
Mailing address
7 ALFRED ST, BALDWIN PARK II, WOBURN, MA 01801-1976
(781) 933-6236
(781) 938-8050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25114
FALLON
MA
01
—
600388
TUFTS HEALTH PLAN
MA
01
—
805422
TUFTS HEALTH PLAN - LAB
MA
01
—
9110
AETNA/US HEALTHCARE
MA
05
—
9712623
—
MA
01
—
M12470
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/27/2006
Last updated
09/19/2016
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