Pediatric House Call Pc

LBN: Pediatric House Call Pc
Pediatric House Call Pc is an health care organization with primary practice located at 56 Winchester St Ste 5 , Newton MA 02461-1730. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pediatric House Call Pc can be contacted via phone (617) 916-5085, or through Stavitsky, Igor via phone (617) 916-5085.

Contact Information

Primary practice address
56 Winchester St Ste 5 Newton MA 02461-1730
Phone: (617) 916-5085
Fax: (617) 916-5105
Website:
Map and Directions
Authorized official contact:
Name: Stavitsky, Igor Doctor of Medicine (MD)
Phone: (617) 916-5085

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 77664 Massachusetts

Profile Details

NPI number 1134189889
LBN Legal business name Pediatric House Call Pc
DBA Doing business as
Authorized official Stavitsky, Igor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2006
Last updated Apr 29th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134189889 NPPES
Massachusetts MEDICAID 3154882
Massachusetts MEDICAID A292941

Popular Providers