Organization
FELLSWAY PEDIATRICS, PC
Active
Other names
Brewer Nystuen Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PHILLIP BREWER M.D. (PRESIDENT/CO-OWNER)
(781) 665-4364
Entity
Organization
Contact information
Practice address
548 LEBANON ST, MELROSE, MA 02176-3226
(781) 665-4364
(781) 662-2284
Mailing address
548 LEBANON ST, MELROSE, MA 02176-3226
(781) 665-4364
(781) 662-2284
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787119
—
MA
Enumeration date
02/05/2013
Last updated
02/12/2013
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