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Organization

WEST CAMBRIDGE PEDIATRIC & ADOLESCENT MEDICIN, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA CONNORS (OFFICE MANAGER)
(617) 547-1995
Entity
Organization

Contact information

Practice address
575 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4656
(617) 547-1421
(617) 492-1118
Mailing address
575 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4656
(617) 547-1421
(617) 492-1118

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
49447
MA

Other

Enumeration date
02/07/2007
Last updated
02/12/2022
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