Organization
PEDIATTRIC MEDICAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN RESNIK GODOY M.D. (TREASURER)
(617) 660-6600
Entity
Organization
Contact information
Practice address
1000 BROADWAY, CHELSEA, MA 02150-2247
(617) 660-6600
(617) 887-2794
Mailing address
1000 BROADWAY, CHELSEA, MA 02150-2247
(617) 660-6600
(617) 887-2794
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
684849
TUFTS
MA
05
—
9786791
—
MA
01
—
998040
NETWORK HEALTH
MA
01
—
M17428
BLUE SHIELD
MA
Enumeration date
10/12/2006
Last updated
08/22/2020
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