Crown Colony Pediatrics PC

NPI #1477591469 in Quincy, Massachusetts

Provider Information

NPI Number: 1477591469
Entity Type: Organization
Organization Name: Crown Colony Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Jun 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 500 CONGRESS ST
Address 2: SUITE 1F
City: Quincy
State: Massachusetts
ZIP Code: 02169-0908
Phone: (617) 471-3411

Authorized Official

Name: LESLIE RONNIE BLACHMAN, M.D.
Title: PRESIDENT
Phone: (617) 471-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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