Beaver Brook Pediatric & Adolescent Medicine, PC
Beaver Brook Pediatric & Adolescent Medicine, PC is a Pediatric Adolescent Medicine Physician in Waltham, Massachusetts. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
465 Waverley Oaks Rd Ste 100Waltham, MA 02452-8438
Phone: (781) 891-3706
Fax: (781) 891-3564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X |
|---|
Record details
| NPI number | 1235180100 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janet Antonioni — Owner/Provider · (781) 891-3706 |
| NPI enumerated | May 15, 2006 |
| Last updated in NPPES | January 21, 2020 |
| Certification date | January 21, 2020 |
| Mailing address | 465 Waverley Oaks Rd, Suite 100, Waltham, MA 02452-8438 |
Other providers in Waltham
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Janet L Antonioni, MD
465 Waverley Oaks Rd Ste 100, Waltham, MA 02452-8448 · (781) 891-3706