MEDICARE: REBECCA PIEKARSKI MD

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
1	208000000X	Pediatrics Physician	L-251723	MA

General Provider Information

NPI Number	:	1609130079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA PIEKARSKI MD

Provider Business Mailing Address
First Line	:	1353 DORCHESTER AVE
Second Line	:	DORCHESTER HOUSE MULTI SERVICE CENTER
City	:	DORCHESTER
State	:	MA
Zip	:	02122-0000
Country	:	US
Telephone Number	:	617-288-3230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1353 DORCHESTER AVE
Second Line	:	DORCHESTER HOUSE MULTI SERVICE CENTER
City	:	DORCHESTER
State	:	MA
Zip	:	02122-0000
Country	:	US
Telephone Number	:	617-288-3230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2012
Last Update Date	:	09/28/2015

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