Provider Demographics
NPI:1316094782
Name:ARLINGTON PEDIATRIC ASSOCIATES, P.C.
Entity type:Organization
Organization Name:ARLINGTON PEDIATRIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-641-5800
Mailing Address - Street 1:5 WATER ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4807
Mailing Address - Country:US
Mailing Address - Phone:781-641-5800
Mailing Address - Fax:339-707-6028
Practice Address - Street 1:5 WATER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4807
Practice Address - Country:US
Practice Address - Phone:781-641-5800
Practice Address - Fax:339-707-6028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0031840OtherNEIGHBORHOOD HEALTH PLAN
MAM18391OtherBLUE CROSS
MA698924OtherTUFTS HEALTH PLAN
MA9719920Medicaid