Organization
START LINE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRFAN RAHIM MD (MANAGING PARTNER)
(508) 435-7100
Entity
Organization
Contact information
Practice address
77 W MAIN ST STE 201, HOPKINTON, MA 01748-1663
(508) 380-4670
Mailing address
447 CENTRAL ST, HOLLISTON, MA 01746-2410
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210763
MA
Other
Enumeration date
03/06/2018
Last updated
04/20/2018
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