Individual
LYDIA E RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2300
(781) 849-2377
Mailing address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2300
(781) 849-2377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
58950
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015143
NEIGHBORHOOD HEALTH
MA
01
—
058950
TUFTS
MA
05
—
3193101
—
MA
01
—
PP344
HARVARD PILGRIM
MA
01
—
Y02179
BLUE CROSS
MA
Enumeration date
01/18/2006
Last updated
03/07/2021
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