Main Street Pediatrics

NPI #1720112865 in Hopkinton, Massachusetts

Provider Information

NPI Number: 1720112865
Entity Type: Organization
Organization Name: Main Street Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Mar 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 77 W MAIN ST
City: Hopkinton
State: Massachusetts
ZIP Code: 01748-1684
Phone: (508) 435-5506

Authorized Official

Name: DR. ROBERT DREW BASOW, MD
Title: PART OWNER
Phone: (508) 435-5506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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