Provider Demographics
NPI:1821115189
Name:WE CARE PEDIATRICS, INC
Entity Type:Organization
Organization Name:WE CARE PEDIATRICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:VALENTIN
Authorized Official - Last Name:VALENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-893-1521
Mailing Address - Street 1:25 PELHAM ROAD SUITE 103
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2853
Mailing Address - Country:US
Mailing Address - Phone:603-893-1521
Mailing Address - Fax:603-894-5529
Practice Address - Street 1:25 PELHAM RD STE 103
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4851
Practice Address - Country:US
Practice Address - Phone:603-893-1521
Practice Address - Fax:603-894-5529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080T0002XAllopathic & Osteopathic PhysiciansPediatricsMedical ToxicologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH33264Medicare UPIN
MAOTH000Medicare UPIN