Organization
TOWN CENTER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH SPAULDING (OFFICE MANAGER)
(508) 229-8811
Entity
Organization
Contact information
Practice address
162 CORDAVILLE RD, SUITE 185, SOUTHBOROUGH, MA 01772-1838
(508) 229-8811
(508) 229-0666
Mailing address
PO BOX 296, SOUTHBOROUGH, MA 01772-0296
(508) 229-8811
(508) 229-0666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44778
FALLON COMMUNITY HEALTH P
—
01
—
615411
TUFTS HEALTH PLAN
—
05
—
9783164
—
MA
01
—
M16823
BLUECROSS BLUE SHIELD
MA
Enumeration date
09/14/2006
Last updated
08/22/2020
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