Organization
SUGARLOAF PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA L O'BRIEN MD (OWNER)
(413) 665-9111
Entity
Organization
Contact information
Practice address
2 PARK ST, UNIT 3, SOUTH DEERFIELD, MA 01373-1035
(413) 665-9111
(413) 665-9211
Mailing address
2 PARK ST, UNIT 3, SOUTH DEERFIELD, MA 01373-1035
(413) 665-9111
(413) 665-9211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
205161
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103616
—
MA
Enumeration date
04/03/2009
Last updated
03/24/2011
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