Organization
PHYSICIAN'S ORGANIZATION AT CHILDREN'S HOSPTIAL
Active
Other names
Community Pediatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE PARESKY (COO)
(617) 355-7293
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 713-0176
(617) 734-2096
Mailing address
PO BOX 843007, BOSTON, MA 02284-3007
(617) 713-0176
(617) 734-2096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9708090
—
MA
Enumeration date
11/07/2006
Last updated
08/22/2020
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