Organization
SOUTHAMPTON PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE DOWNIE (CREDENTIALS SPECIALIST)
(413) 582-2342
Entity
Organization
Contact information
Practice address
6 PARC PL, SOUTHAMPTON, MA 01073-9277
(413) 529-7161
Mailing address
6 PARC PL, SOUTHAMPTON, MA 01073-9277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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