Central Mass Pediatric Gi & Nutrition, P.C.
LBN: Central Mass Pediatric Gi & Nutrition, P.C.
Central Mass Pediatric Gi & Nutrition, P.C. is an health care organization with primary practice located at 123 Summer Street Suite 630, Worcester MA 01608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty.
Central Mass Pediatric Gi & Nutrition, P.C. can be contacted via phone (508) 363-7344, or through Dahod, Idris via phone (508) 363-7344.
Contact Information
Primary practice address
123 Summer Street Suite 630
Worcester MA 01608
Phone: (508) 363-7344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 156574 | Massachusetts |
Profile Details
| NPI number | 1114195179 |
|---|---|
| LBN Legal business name | Central Mass Pediatric Gi & Nutrition, P.C. |
| DBA Doing business as | |
| Authorized official | Dahod, Idris |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2008 |
| Last updated | Feb 13th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114195179 | NPPES |
| Massachusetts | MEDICAID | 3185796 | |
| Massachusetts | Other | 691538 | |
| Massachusetts | Other | 55515 | |
| Massachusetts | Other | M18069 |
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