Organization
PEDIATRICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JAMES ANNINO SR. M.D. (PRESIDENT)
(781) 729-4262
Entity
Organization
Contact information
Practice address
955 MAIN ST, SUITE 103 & 106, WINCHESTER, MA 01890-1961
(781) 729-4262
(781) 729-0692
Mailing address
955 MAIN ST, SUITE 103 & 106, WINCHESTER, MA 01890-1961
(781) 729-4262
(781) 729-0692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701732
TUFTS HEALTH PLAN
MA
05
—
9786708
—
MA
01
—
M10667
BLUECROSS & BLUESHIELD
MA
Enumeration date
02/13/2007
Last updated
08/22/2020
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