Healthcare Provider Details

I. General information

NPI: 1831194349
Provider Name (Legal Business Name): ASSOCIATES IN PEDIATRICS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 NASHUA RD STE 5
DRACUT MA
01826-1929
US

IV. Provider business mailing address

505 NASHUA RD STE 5
DRACUT MA
01826-1929
US

V. Phone/Fax

Practice location:
  • Phone: 978-957-4300
  • Fax: 978-957-3891
Mailing address:
  • Phone: 978-957-4300
  • Fax: 978-957-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number40721
License Number StateMA

VIII. Authorized Official

Name: DR. ALFONSO E SIERRA
Title or Position: PARTNER
Credential: MD
Phone: 978-957-4300