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Organization

PEDIATRIC HEALTH CARE ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN DAVID KANAREK (PRESIDENT)
(978) 535-1110
Entity
Organization

Contact information

Practice address
10 CENTENNIAL DRIVE, PEABODY, MA 01960
(978) 535-1110
(978) 535-2907
Mailing address
10 CENTENNIAL DRIVE, PEABODY, MA 01960
(978) 535-1110
(978) 535-2907

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/27/2006
Last updated
08/06/2012
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