Centre Pediatric Associates Pc
LBN: Centre Pediatric Associates Pc
Centre Pediatric Associates Pc is an health care organization with primary practice located at 1 Brookline Pl Suite 327, Brookline MA 02445-7224. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Centre Pediatric Associates Pc can be contacted via phone (617) 735-8585, or through Bunnell, Bruce Willard via phone (617) 735-8585.
Contact Information
Primary practice address
1 Brookline Pl Suite 327
Brookline MA 02445-7224
Phone: (617) 735-8585
Fax: (617) 232-0572
Website:
Authorized official contact:
Name: Bunnell, Bruce Willard Doctor of Medicine (MD)
Phone: (617) 735-8585
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | NA |
Profile Details
| NPI number | 1336212422 |
|---|---|
| LBN Legal business name | Centre Pediatric Associates Pc |
| DBA Doing business as | |
| Authorized official | Bunnell, Bruce Willard Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336212422 | NPPES |
| Massachusetts | Other | 92057 | AETNA USHEALTHCARE |
| Massachusetts | MEDICAID | 9767312 | AETNA USHEALTHCARE |
| Massachusetts | Other | 711716 | AETNA USHEALTHCARE |
| Massachusetts | Other | M14606 | AETNA USHEALTHCARE |
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