Organization
KIDS ON THE COMMON PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA ANN RUGO-FOCHT MD (PRACTICE OWNER)
(508) 839-4440
Entity
Organization
Contact information
Practice address
28 GRAFTON CMN, GRAFTON, MA 01519-1534
(508) 839-4440
Mailing address
31 SIBLEY ST, GRAFTON, MA 01519-1304
(508) 839-4440
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
79059
MA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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