Roslindale Pediatric Associates, P.C.
LBN: Roslindale Pediatric Associates, P.C.
Roslindale Pediatric Associates, P.C. is an health care organization with primary practice located at 1153 Centre St 31, Boston MA 02130-3446. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Roslindale Pediatric Associates, P.C. can be contacted via phone (617) 522-3100, or through Stacks, Robert D via phone (617) 522-3100.
Contact Information
Primary practice address
1153 Centre St 31
Boston MA 02130-3446
Phone: (617) 522-3100
Fax: (617) 522-6366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29672 | Massachusetts |
Profile Details
| NPI number | 1578617445 |
|---|---|
| LBN Legal business name | Roslindale Pediatric Associates, P.C. |
| DBA Doing business as | |
| Authorized official | Stacks, Robert D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| 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 | 1578617445 | NPPES |
| Massachusetts | Other | 600454 | TUFTS |
| Massachusetts | MEDICAID | 9757864 | TUFTS |
| Massachusetts | Other | 0036005 | TUFTS |
| Massachusetts | Other | 9058 | TUFTS |
| Massachusetts | Other | M14816 | TUFTS |
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