Beaver Brook Pediatric & Adolescent Medicine, P.C. in Waltham - Adolescent Medicine
Beaver Brook Pediatric & Adolescent Medicine, P.C. - NPI 1235180100
Beaver Brook Pediatric & Adolescent Medicine, P.C. is a Adolescent Medicine in Waltham, Massachusetts. Beaver Brook Pediatric & Adolescent Medicine, P.C. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Beaver Brook Pediatric & Adolescent Medicine, P.C. is 1235180100. The last update date is 2020-01-21.
Beaver Brook Pediatric & Adolescent Medicine, P.C.'s current location address is 465 Waverley Oaks Rd, Waltham, Massachusetts. You can contact this provider via phone number 7818913706 and fax number 7818913564. The mailing address for Beaver Brook Pediatric & Adolescent Medicine, P.C. is 465 Waverley Oaks Rd, Waltham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beaver Brook Pediatric & Adolescent Medicine, P.C. |
|---|---|
| Address | 465 Waverley Oaks Rd, Waltham, Massachusetts |
| Phone Number | 7818913706 |
| Fax Number | 7818913564 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PROV |
|---|---|
| Authorized Official Name | Antonioni L Janet |
| Telephone Number | 7818913706 |
NPI Number Detail
| NPI Number | 1235180100 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2020-01-21 |
Provider Mailing Address Detail
| Address | 465 Waverley Oaks Rd |
|---|---|
| City | Waltham |
| State | Massachusetts (MA) |
| Post Code | 24528438 |
| Phone Number | 7818913706 |
| Fax Number | 7818913564 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110074250A | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Beaver Brook Pediatric & Adolescent Medicine, P.C. by the Centers for Medicare & Medicaid Services?
The Beaver Brook Pediatric & Adolescent Medicine, P.C. has been assigned the NPI (National Provider Identifier) 1235180100 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Beaver Brook Pediatric & Adolescent Medicine, P.C.'s facilities are situated?
The facilities of Beaver Brook Pediatric & Adolescent Medicine, P.C. are physically located at the following address: 465 Waverley Oaks Rd, Waltham, MA, 24528438.
What is Beaver Brook Pediatric & Adolescent Medicine, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Beaver Brook Pediatric & Adolescent Medicine, P.C. is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.
On what date did the Beaver Brook Pediatric & Adolescent Medicine, P.C. receive its 1235180100 assignment from the Centers for Medicare & Medicaid Services?
The Beaver Brook Pediatric & Adolescent Medicine, P.C. was assigned its 1235180100 by the Centers for Medicare & Medicaid Services on 2006-05-15.
When was the information related to Beaver Brook Pediatric & Adolescent Medicine, P.C. most recently updated or refreshed?
The details pertaining to the Beaver Brook Pediatric & Adolescent Medicine, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-01-21.