| Commonwealth Pediatrics, Llc | |
|
92 Montvale Ave Stoneham MA 02180-3647 | |
| (518) 331-5316 | |
| Not Available |
| Full Name | Commonwealth Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 92 Montvale Ave, Stoneham, Massachusetts |
| Authorized Official Name and Position | Michelle Lock (PHYSICIAN / OWNER) |
| Authorized Official Contact | 5183315316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Pediatrics, Llc 53 Oxford St Winchester MA 01890-2422 Ph: (518) 331-5316 | Commonwealth Pediatrics, Llc 92 Montvale Ave Stoneham MA 02180-3647 Ph: (518) 331-5316 |
| NPI Number | 1588051874 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 04/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588051874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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