Sugarloaf Pediatrics, Pc

LBN: Sugarloaf Pediatrics, Pc
Sugarloaf Pediatrics, Pc is an health care organization with primary practice located at 2 Park St Unit 3, South Deerfield MA 01373-1035. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Sugarloaf Pediatrics, Pc can be contacted via phone (413) 665-9111, or through O'Brien, Gina L via phone (413) 665-9111.

Contact Information

Primary practice address
2 Park St Unit 3 South Deerfield MA 01373-1035
Phone: (413) 665-9111
Fax: (413) 665-9211
Website:
Map and Directions
Authorized official contact:
Name: O'Brien, Gina L Doctor of Medicine (MD)
Phone: (413) 665-9111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 205161 Massachusetts

Profile Details

NPI number 1366684433
LBN Legal business name Sugarloaf Pediatrics, Pc
DBA Doing business as
Authorized official O'Brien, Gina L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2009
Last updated Mar 24th, 2011 - about 15 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 1366684433 NPPES
Massachusetts MEDICAID 0103616

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