Healthcare Provider Details

I. General information

NPI: 1578586582
Provider Name (Legal Business Name): NORTHAMPTON AREA PEDIATRICS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 LOCUST ST #2
NORTHAMPTON MA
01060-2066
US

IV. Provider business mailing address

193 LOCUST ST #2
NORTHAMPTON MA
01060-2066
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-8700
  • Fax: 413-584-1714
Mailing address:
  • Phone: 413-584-8700
  • Fax: 413-584-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER C. KENNY
Title or Position: PHYSICIAN/PARTNER
Credential: MD
Phone: 413-584-8700