South Suburban Pediatrics in Quincy - Pediatrics

South Suburban Pediatrics - NPI 1760680987

South Suburban Pediatrics is a Pediatrics in Quincy, Massachusetts. South Suburban Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for South Suburban Pediatrics is 1760680987. The last update date is 2007-07-10.

South Suburban Pediatrics's current location address is 101 Adams Street, Quincy, Massachusetts. You can contact this provider via phone number 6177737754 and fax number 6173280957. The mailing address for South Suburban Pediatrics is 101 Adams Street, Quincy, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Suburban Pediatrics
Address 101 Adams Street, Quincy, Massachusetts
Phone Number 6177737754
Fax Number 6173280957
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hom George
Credentials MD
Telephone Number 6177737754

NPI Number Detail

NPI Number 1760680987
Provider Enumeration Date 2007-07-10
Last Updated Date 2007-07-10

Provider Mailing Address Detail

Address 101 Adams Street
City Quincy
State Massachusetts (MA)
Post Code 2169
Phone Number 6177737754
Fax Number 6173280957

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 54474
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
667895 TUFTS
M17310 BCBS
9785809 MA --

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FAQs about South Suburban Pediatrics

What is the unique 10-digit identifier code issued to South Suburban Pediatrics by the Centers for Medicare & Medicaid Services?

The South Suburban Pediatrics has been assigned the NPI (National Provider Identifier) 1760680987 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the South Suburban Pediatrics's physical address?

The South Suburban Pediatrics is physically located at 101 Adams Street, in the city of Quincy, MA, with the postal code 2169.

What is South Suburban Pediatrics's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for South Suburban Pediatrics is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

When was the South Suburban Pediatrics's 1760680987 issued?

The South Suburban Pediatrics's 1760680987 was issued on 2007-07-10.

As of what date were the details related to South Suburban Pediatrics most recently updated or revised?

The information pertaining to South Suburban Pediatrics, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-10.

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