Organization
PM PEDIATRICS OF NEW ENGLAND LLC
Active
Parent organization
PM PEDIATRICS OF NEW ENGLAND
Organization subpart
Yes
Provider details
NPI number
Legal business name
PM PEDIATRICS OF NEW ENGLAND
Authorized official
DANIELLE MARIE LOPEZ (MANAGER CREDENTIALING/ENROLLMENT)
(516) 207-7936
Entity
Organization
Contact information
Practice address
97 PEARL STREET, BRAINTREE, MA 02184
(781) 848-5437
(781) 848-5430
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 207-7851
(516) 207-7851
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
03/05/2025
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