Organization
WILMINGTON PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAND A. TANGUAY MD (PRESIDENT)
(978) 988-6209
Entity
Organization
Contact information
Practice address
500 SALEM ST, WILMINGTON, MA 01887-1200
(978) 988-6209
(978) 988-6139
Mailing address
500 SALEM ST, WILMINGTON, MA 01887-1200
(978) 988-6209
(978) 988-6139
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600594
TUFTS GROUP NUMBER
MA
05
—
9765387
—
MA
01
—
M15347
BLUE CROSS GROUP NUMBER
MD
Enumeration date
12/28/2006
Last updated
02/15/2013
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