Organization
PEDIATRICS 01532 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO LEWITUS (OWNER)
(508) 393-7807
Entity
Organization
Contact information
Practice address
112 MAIN ST STE 101, NORTHBOROUGH, MA 01532-1914
(508) 393-7807
(508) 393-8608
Mailing address
112 MAIN ST STE 101, NORTHBOROUGH, MA 01532-1914
(508) 393-7807
(508) 393-8608
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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