1861556961 NPI number — MIDDLEBORO PEDIATRICS, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861556961 NPI number — MIDDLEBORO PEDIATRICS, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIDDLEBORO PEDIATRICS, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861556961
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 LAKEVILLE BUSINESS PARK
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKEVILLE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02347-1236
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-947-0630
Provider Business Mailing Address Fax Number:
508-947-0639

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 LAKEVILLE BUSINESS PARK
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKEVILLE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02347-1236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-947-0630
Provider Business Practice Location Address Fax Number:
508-947-0639
Provider Enumeration Date:
12/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BORNSTEIN
Authorized Official First Name:
NEAL
Authorized Official Middle Name:
GERALD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
508-947-0630

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 713191 . This is a "TUFTS HEALTH CARE GROUP #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9718605 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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