West Cambridge Pediatric & Adolescent Medicin, PC
Health Maintenance Organization in Cambridge, Massachusetts
1487794814- Practice location
- 575 Mount Auburn St, Cambridge, MA 02138-4656
- Phone
- 617-547-1421
- Fax
- 617-492-1118
- Last updated
- February 12, 2022
West Cambridge Pediatric & Adolescent Medicin, PC is a healthcare organization based in Cambridge, MA. West Cambridge Pediatric & Adolescent Medicin, PC practices in Cambridge, MA. The NPI Number for West Cambridge Pediatric & Adolescent Medicin, PC is 1487794814 and holds a License No. 49447 (MA). The current practice location address for West Cambridge Pediatric & Adolescent Medicin, PC is 575 Mount Auburn St, Cambridge, MA 02138-4656 and can be reached out via phone at 617-547-1421 and via fax at 617-492-1118.
Provider Profile Details
- NPI Number
- 1487794814
- Provider Name
- West Cambridge Pediatric & Adolescent Medicin, PC
- Provider Entity Type
- Organization
- Address
- 575 Mount Auburn St, Cambridge, MA 02138-4656
- Phone Number
- 617-547-1421
- Fax Number
- 617-492-1118
- Primary Taxonomy
- Health Maintenance Organization · 302R00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Patricia Connors · Office Manager · 617-547-1995
- Provider Enumeration Date
- February 7, 2007
- Last Update Date
- February 12, 2022
- Certification Date
- February 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 575 Mount Auburn St
Cambridge, MA 02138-4656 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02138-4656
- Phone Number
- 617-547-1421
- Fax Number
- 617-492-1118
Provider Business Mailing Address Details
- Address
- 575 Mount Auburn St
Cambridge, MA 02138-4656 - City
- Cambridge
- State
- MA
- Zip
- 02138-4656
- Phone Number
- 617-547-1421
- Fax Number
- 617-492-1118
License Information
- License Number
- 49447
- License State
- MA
- Taxonomy
- Health Maintenance Organization · 302R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of West Cambridge Pediatric & Adolescent Medicin, PC?
The NPI number of West Cambridge Pediatric & Adolescent Medicin, PC is 1487794814. It was assigned on February 7, 2007 and is currently active in the NPPES registry.
What is the specialty of West Cambridge Pediatric & Adolescent Medicin, PC?
West Cambridge Pediatric & Adolescent Medicin, PC is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X), licensed in MA under license number 49447.
Where does West Cambridge Pediatric & Adolescent Medicin, PC practice?
The practice location is 575 Mount Auburn St, Cambridge, MA 02138-4656. The office can be reached at 617-547-1421 (phone) or 617-492-1118 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487794814 directly on the NPPES registry website.