Provider Demographics
NPI:1346552080
Name:NEWTON PEDIATRICS LLC
Entity Type:Organization
Organization Name:NEWTON PEDIATRICS LLC
Other - Org Name:KRISZTINA BUKUR-DOCZY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISZTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUKUR-DOCZY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-564-0123
Mailing Address - Street 1:25 BOYLSTON STREET
Mailing Address - Street 2:SUITE 211
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1715
Mailing Address - Country:US
Mailing Address - Phone:617-564-0123
Mailing Address - Fax:978-362-8954
Practice Address - Street 1:25 BOYLSTON ST
Practice Address - Street 2:SUITE 211
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1715
Practice Address - Country:US
Practice Address - Phone:617-564-0123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA238165302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
1346247152OtherNPI