Garden City Pediatric Assoc, Llc

LBN: Garden City Pediatric Assoc, Llc
Garden City Pediatric Assoc, Llc is an health care organization with primary practice located at 83 Herrick St Ste 1003, Beverly MA 01915. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Garden City Pediatric Assoc, Llc can be contacted via phone (978) 927-4980, or through Kriteman, Jacob D via phone (978) 527-4980.

Contact Information

Primary practice address
83 Herrick St Ste 1003 Beverly MA 01915
Phone: (978) 927-4980
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kriteman, Jacob D Doctor of Medicine (MD)
Phone: (978) 527-4980

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1598868564
LBN Legal business name Garden City Pediatric Assoc, Llc
DBA Doing business as
Authorized official Kriteman, Jacob D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Oct 10th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598868564 NPPES
Massachusetts MEDICAID 9707433
Massachusetts Other M12092

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