Revere Winthrop Pediatrics

NPI #1083788756 in Revere, Massachusetts

Provider Information

NPI Number: 1083788756
Entity Type: Organization
Organization Name: Revere Winthrop Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Nov 17, 2006
Last Updated: Dec 10, 2007

Practice Location

Address: 280 BEACH STREET
City: Revere
State: Massachusetts
ZIP Code: 02151
Phone: (781) 289-5057

Authorized Official

Name: AILISH M HAYES, MD
Title: MD PRESIDENT
Phone: (781) 289-5057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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