Organization · Type 2 NPI

TLC Pediatrics PC

Pediatric Adolescent Medicine Physician · Revere, MA

NPI number 1962708271 Active

Practice location

280 Beach St
Revere, MA 02151-3143

Fax (781) 289-4485

Specialties and licenses

Taxonomy	Code	License
Pediatric Adolescent Medicine Physician Primary	2080A0000X	None listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

6 other providers at this address

NPI record

NPI: 1962708271
Entity type: Organization (Type 2)
Issued: Feb 3, 2011
Last updated: Jul 9, 2020
Status: Active

Other names

<unavail>
Revere-Winthrop Pediatrics · doing business as
Revere-Winthrop Pediatrics · doing business as

Authorized official

Dr. Janet Tieng Chua, MD
President
(781) 289-5057

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1962708271

TLC Pediatrics PC's National Provider Identifier is 1962708271, issued on Feb 3, 2011. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Revere, MA. The record was last updated on Jul 9, 2020.