Brockton Pediatrics in Brockton - Primary Care
Brockton Pediatrics - NPI 1629001904
Brockton Pediatrics is a Primary Care in Brockton, Massachusetts. Brockton Pediatrics practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Brockton Pediatrics is 1629001904. The last update date is 2020-08-22.
Brockton Pediatrics's current location address is 65 Libby St, Brockton, Massachusetts. You can contact this provider via phone number 5085846060. The mailing address for Brockton Pediatrics is 65 Libby St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brockton Pediatrics |
|---|---|
| Address | 65 Libby St, Brockton, Massachusetts |
| Phone Number | 5085846060 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Fernandez Yara |
| Telephone Number | 5085846060 |
NPI Number Detail
| NPI Number | 1629001904 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 65 Libby St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23022949 |
| Phone Number | 5085846060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 150780 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brockton Pediatrics by the Centers for Medicare & Medicaid Services?
The Brockton Pediatrics has been issued the NPI (National Provider Identifier) 1629001904, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brockton Pediatrics is geographically located?
The Brockton Pediatrics is physically situated at the following location: 65 Libby St, Brockton, MA, 23022949.
What is the Brockton Pediatrics's specialty and taxonomy code?
The Brockton Pediatrics's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
When did Brockton Pediatrics receive its 1629001904 assignment?
The Brockton Pediatrics was assigned its 1629001904 on 2006-07-09, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Brockton Pediatrics most recently updated or revised?
The details related to Brockton Pediatrics, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.