Garden City Pediatric Assoc, Llc in Beverly - Pediatrics

Garden City Pediatric Assoc, Llc - NPI 1598868564

Garden City Pediatric Assoc, Llc is a Pediatrics in Beverly, Massachusetts. Garden City Pediatric Assoc, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Garden City Pediatric Assoc, Llc is 1598868564. The last update date is 2007-10-10.

Garden City Pediatric Assoc, Llc's current location address is 83 Herrick St, Beverly, Massachusetts. You can contact this provider via phone number 9789274980. The mailing address for Garden City Pediatric Assoc, Llc is 83 Herrick St, Beverly, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Garden City Pediatric Assoc, Llc
Address 83 Herrick St, Beverly, Massachusetts
Phone Number 9789274980
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Kriteman D Jacob
Credentials MD
Telephone Number 9785274980

NPI Number Detail

NPI Number 1598868564
Provider Enumeration Date 2006-09-06
Last Updated Date 2007-10-10

Provider Mailing Address Detail

Address 83 Herrick St
City Beverly
State Massachusetts (MA)
Post Code 1915
Phone Number 9789274980
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9707433 MA --
M12092 BCBS

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FAQs about Garden City Pediatric Assoc, Llc

What is the Garden City Pediatric Assoc, Llc's unique identification number?

The Garden City Pediatric Assoc, Llc has been assigned the NPI (National Provider Identifier) Number 1598868564 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Garden City Pediatric Assoc, Llc is physically located?

The Garden City Pediatric Assoc, Llc is physically situated at the following address: 83 Herrick St, Beverly, MA, 1915.

What is the Garden City Pediatric Assoc, Llc's specialty and taxonomy code?

The Garden City Pediatric Assoc, Llc's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Garden City Pediatric Assoc, Llc receive the assignment of its 1598868564 from the Centers for Medicare & Medicaid Services?

The Garden City Pediatric Assoc, Llc was issued its 1598868564 by the Centers for Medicare & Medicaid Services on 2006-09-06.

When was the information regarding Garden City Pediatric Assoc, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Garden City Pediatric Assoc, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-10.

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