Organization
CHILD HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE M RIST (PRACTICE ADMINISTRATOR)
(508) 832-9691
Entity
Organization
Contact information
Practice address
105 MILLBURY ST, AUBURN, MA 01501-3205
(508) 832-9691
Mailing address
105 MILLBURY ST, AUBURN, MA 01501-3205
(508) 832-9691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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