Organization
MEADOWS PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT P LEAVITT MD (PRESIDENT)
(413) 567-4500
Entity
Organization
Contact information
Practice address
734 BLISS RD, LONGMEADOW, MA 01106-1561
(413) 567-4500
Mailing address
PO BOX 61137, LONGMEADOW, MA 01116-6137
(413) 214-7435
(413) 214-7437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78665
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782338
—
MA
Enumeration date
03/05/2007
Last updated
08/22/2020
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