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Organization

METROWEST PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAISA W GAINES M.D. (PRESIDENT)
(508) 620-6615
Entity
Organization

Contact information

Practice address
33 EDGELL RD, FRAMINGHAM, MA 01701
(508) 620-6615
(508) 879-1597
Mailing address
33 EDGELL RD, FRAMINGHAM, MA 01701-4833
(508) 620-6615
(508) 879-1597

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
688580
TUFTS
MA
05
9786864
MA
01
M17360
BS
MA
Enumeration date
07/11/2006
Last updated
09/26/2012
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