Organization
DARTMOUTH PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSEN ALI ELHADDAD MD (OWNER/PRESIDENT)
(508) 961-1644
Entity
Organization
Contact information
Practice address
49 STATE RD, PEQUOT BLDG #201, NORTH DARTMOUTH, MA 02747-3322
(508) 961-1644
(508) 984-5893
Mailing address
49 STATE RD, PEQUOT BLDG #201, NORTH DARTMOUTH, MA 02747-3322
(508) 961-1644
(508) 984-5893
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77609
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9786783
—
MA
Enumeration date
07/12/2007
Last updated
07/12/2007
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