| NPI | 1316069149 |
|---|---|
| Doing Business As | COMMUNITY PEDIATRIC OF ANDOVER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH W DESIATO President 978-475-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 55584) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |