Organization
BRIDGEWATER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED D KERN MD (MANAGING OWNER)
(508) 697-8116
Entity
Organization
Contact information
Practice address
1029 PLEASANT ST, SUITE 100, BRIDGEWATER, MA 02324
(508) 697-8116
(508) 697-8117
Mailing address
1029 PLEASANT ST, SUITE 100, BRIDGEWATER, MA 02324
(508) 697-8116
(508) 697-8117
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57747
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J06281
BCBS
—
Enumeration date
02/03/2009
Last updated
08/10/2016
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