Marblehead Pediatrics

LBN: Marblehead Pediatrics
Marblehead Pediatrics is an health care organization with primary practice located at 70 Atlantic Ave , Marblehead MA 01945-3042. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Marblehead Pediatrics can be contacted via phone (781) 631-7800, or through Gast, Lisa A via phone (781) 631-7800.

Contact Information

Primary practice address
70 Atlantic Ave Marblehead MA 01945-3042
Phone: (781) 631-7800
Fax: (781) 631-4319
Website:
Map and Directions
Authorized official contact:
Name: Gast, Lisa A Doctor of Osteopathy (DO)
Phone: (781) 631-7800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1386794584
LBN Legal business name Marblehead Pediatrics
DBA Doing business as
Authorized official Gast, Lisa A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 31st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386794584 NPPES
Massachusetts MEDICAID 9718338
Massachusetts MEDICAID 110068239

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