| NPI | 1093797706 |
|---|---|
| Doing Business As | ALEWIFE BROOK COMMUNITY PEDIATIRCS |
| Entity Type | Organization |
| Authorized Contact | EILEEN WILLS Billing Manager 781-756-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 55709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 71232) |
| 208000000X Pediatrics (Licence: MA 70683) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2009-01-05 |