Organization
PATRIOT PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCINE HENNESSEY M.D. (OWNER)
(781) 674-2900
Entity
Organization
Contact information
Practice address
74 LOOMIS ST, BEDFORD, MA 01730-2248
(781) 674-2900
Mailing address
74 LOOMIS ST, BEDFORD, MA 01730-2248
(781) 674-2900
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070324
TUFTS HEALTH PLAN
MA
01
—
150518
TUFTS HEALTH PLAN
MA
01
—
1578700
TUFTS HEALTH PLAN
MA
01
—
718556
TUFTS HEALTH PLAN
MA
Enumeration date
05/16/2007
Last updated
08/22/2020
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