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Organization

PM PEDIATRICS OF NEW ENGLAND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE MARIE LOPEZ (MANAGER CREDENTIALING/ENROLLMENT)
(516) 207-7936
Entity
Organization

Contact information

Practice address
719 PROVIDENCE HIGHWAY, DEDHAM, NY 02026
(781) 461-6767
(781) 461-6774
Mailing address
1 HOLLOW LANE, SUITE 301, LAKE SUCCESS, NY 11042
(516) 869-0650
(516) 673-9408

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
05/17/2017
Last updated
03/05/2025
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