| NPI | 1457377566 |
|---|---|
| Doing Business As | SOUTH AVENUE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LINDA SHYAVITZ Executive Director 508-236-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-03-13 |