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Organization

PRATT PEDIATRIC ASSOCIATES INC

Active
Other names
Pratt Pediatric Associates Inc
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD GALLEGOS (DIRECTOR)
(617) 636-7549
Entity
Organization

Contact information

Practice address
800 WASHINGTON ST, BOX 1013, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOX 1013, BOSTON, MA 02111-1552
(617) 636-5000

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MA
208000000X
Pediatrics Physician
Primary
2080P0006X
Developmental - Behavioral Pediatrics Physician
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
2080P0202X
Pediatric Cardiology Physician
2080P0206X
Pediatric Gastroenterology Physician
2080P0207X
Pediatric Hematology & Oncology Physician
2080P0214X
Pediatric Pulmonology Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician

Other

Enumeration date
05/31/2006
Last updated
05/18/2017
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