Beaver Brook Pediatric & Adolescent Medicine, P.c.
NPI #1235180100 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1235180100
- Entity Type
- Organization
- Organization Name
- Beaver Brook Pediatric & Adolescent Medicine, P.c.
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- May 15, 2006
- Last Updated
- Jan 21, 2020
Practice Location
- Address
- 465 WAVERLEY OAKS RD
- Address 2
- SUITE 100
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02452-8438
- Phone
- (781) 891-3706
Authorized Official
- Name
- JANET L ANTONIONI
- Title
- OWNER/PROVIDER
- Phone
- (781) 891-3706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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