Organization
COMMONWEALTH PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LOCK MD (PHYSICIAN / OWNER)
(518) 331-5316
Entity
Organization
Contact information
Practice address
92 MONTVALE AVE, STONEHAM, MA 02180-3647
(518) 331-5316
Mailing address
53 OXFORD ST, WINCHESTER, MA 01890-2422
(518) 331-5316
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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