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NPI Code Detail

MEDICARE: RIVERSIDE EARLY INTERVENTION

MEDICARE: RIVERSIDE EARLY INTERVENTION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1003241456
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVERSIDE EARLY INTERVENTION
Provider Business Mailing Address
First Line : 255 HIGHLAND AVE
Second Line :
City : NEEDHAM HEIGHTS
State : MA
Zip : 02494-3023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 255 HIGHLAND AVE
Second Line :
City : NEEDHAM HEIGHTS
State : MA
Zip : 02494-3023
Country : US
Telephone Number : 781-449-1884
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : JOANNE SWEENEY
Credential :
Telephone Number : 781-247-7770
Provider Enumeration Date : 09/04/2013
Last Update Date : 09/04/2013

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Directions to “RIVERSIDE EARLY INTERVENTION ” Practice Location

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