Pediatric Healthcare Associates INC

NPI #1013081223 in Laplata, Massachusetts

Provider Information

NPI Number: 1013081223
Entity Type: Organization
Organization Name: Pediatric Healthcare Associates INC
Primary Specialty: Pediatrics
Enumeration Date: Nov 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 404 EAST CHARLES STREET
City: Laplata
State: Massachusetts
ZIP Code: 20646
Phone: (301) 751-6058

Authorized Official

Name: TOLLESE BANKETT, MD
Title: PRESIDENT
Phone: (301) 753-1918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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