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Organization

COMMUNITY PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNE IREYS LENNON M.D (PRESIDENT)
(617) 773-5400
Entity
Organization

Contact information

Practice address
54 BILLINGS RD, QUINCY, MA 02171-2302
(617) 773-5400
(617) 773-5420
Mailing address
54 BILLINGS RD, QUINCY, MA 02171-2302
(617) 773-5400
(617) 773-5420

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9702300
MA
Enumeration date
03/19/2007
Last updated
08/22/2020
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