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Organization

BASS RIVER PEDIATRIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH COLMER (MD)
(508) 394-2116
Entity
Organization

Contact information

Practice address
237 STATION AVE, SOUTH YARMOUTH, MA 02664-1863
(508) 394-2116
(508) 760-1919
Mailing address
237 STATION AVE, SOUTH YARMOUTH, MA 02664-1863

Taxonomy

Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary

Other

Enumeration date
05/18/2007
Last updated
06/06/2011
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