Roslindale Pediatric Associates, P.C.

LBN: Roslindale Pediatric Associates, P.C.
Roslindale Pediatric Associates, P.C. is an health care organization with primary practice located at 1153 Centre St 31, Boston MA 02130-3446. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Roslindale Pediatric Associates, P.C. can be contacted via phone (617) 522-3100, or through Stacks, Robert D via phone (617) 522-3100.

Contact Information

Primary practice address
1153 Centre St 31 Boston MA 02130-3446
Phone: (617) 522-3100
Fax: (617) 522-6366
Website:
Map and Directions
Authorized official contact:
Name: Stacks, Robert D Doctor of Medicine (MD)
Phone: (617) 522-3100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29672 Massachusetts

Profile Details

NPI number 1578617445
LBN Legal business name Roslindale Pediatric Associates, P.C.
DBA Doing business as
Authorized official Stacks, Robert D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1578617445 NPPES
Massachusetts Other 600454 TUFTS
Massachusetts MEDICAID 9757864 TUFTS
Massachusetts Other 0036005 TUFTS
Massachusetts Other 9058 TUFTS
Massachusetts Other M14816 TUFTS

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