Organization
WAYLAND PEDIATRICS LLC
Active
Parent organization
WAYLAND PEDIATRICS LLC
Other names
Wayland Pediatrics - Moonlighter
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYLAND PEDIATRICS LLC
Authorized official
ELLEN M MAHONEY MD (MANAGING PARTNER)
(508) 358-2918
Entity
Organization
Contact information
Practice address
73 PELHAM ISLAND RD, WAYLAND, MA 01778-2625
(508) 358-2918
(508) 358-6054
Mailing address
73 PELHAM ISLAND RD, WAYLAND, MA 01778-2625
(508) 358-2918
(508) 358-6054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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