Organization
LUDLOW PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J WILLIS M.D. (OWNER)
(413) 589-9494
Entity
Organization
Contact information
Practice address
77 WINSOR ST, SUITE 104, LUDLOW, MA 01056-3469
(413) 589-9494
(413) 589-0774
Mailing address
77 WINSOR ST, SUITE 104, LUDLOW, MA 01056-3469
(413) 589-9494
(413) 589-0774
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9728171
—
MA
Enumeration date
01/29/2007
Last updated
08/22/2020
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