OrganizationActive
Beaver Brook Pediatric & Adolescent Medicine, P.C.
NPI 1235180100 · Pediatric Adolescent Medicine Physician · Waltham, MA
Provider details
- NPI number
- 1235180100
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Janet Antonioni, Owner/Provider
Practice location
465 Waverley Oaks Rd
Suite 100
Waltham, MA 02452-8438
Phone: (781) 891-3706
Fax: (781) 891-3564
Mailing address
465 Waverley Oaks Rd
Waltham, MA 02452-8438
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2020-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.