Healthcare Provider Details

I. General information

NPI: 1366738668
Provider Name (Legal Business Name): WACHUSETT PEDIATRICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2011
Last Update Date: 07/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 NARROWS RD BUILDING C SUITE 105
WESTMINSTER MA
01473-1677
US

IV. Provider business mailing address

2 NARROWS RD BUILDING C SUITE 105
WESTMINSTER MA
01473-1677
US

V. Phone/Fax

Practice location:
  • Phone: 978-874-5550
  • Fax: 978-874-5551
Mailing address:
  • Phone: 978-874-5550
  • Fax: 978-874-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRAD ALPERT
Title or Position: OWNER
Credential: M.D.
Phone: 978-874-5550