Provider Demographics
NPI:1689730855
Name:PEDIATRIC ASSOCIATES OF NORWOOD AND FRANKLIN, PC
Entity Type:Organization
Organization Name:PEDIATRIC ASSOCIATES OF NORWOOD AND FRANKLIN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGLEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-769-5227
Mailing Address - Street 1:100 MORSE STREET
Mailing Address - Street 2:2ND FLOOR, STE:220
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-769-5227
Mailing Address - Fax:781-440-9142
Practice Address - Street 1:100 MORSE STREET
Practice Address - Street 2:2ND FLOOR, STE:220
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-769-4090
Practice Address - Fax:781-169-6485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty