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Organization

PRIMARY CARE PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY AMIRTO (BILLING MANAGER)
(978) 944-0337
Entity
Organization

Contact information

Practice address
25 WALNUT ST, SUITE 102, WELLESLEY, MA 02481-2152
(617) 977-3057
(617) 467-5318
Mailing address
1555 COMMONWEALTH AVE, NEWTON, MA 02465-2800
(978) 944-0337
(978) 362-8954

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32752
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9782044
MA
Enumeration date
03/27/2014
Last updated
03/27/2014
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