Jan Steele-Perkins, M.D., FAAP, is proud to call himself an old-fashioned pediatrician. For 22 years, he has run a successful pediatric practice out of his Westfield, Mass. home, with an office telephone by his bed and the family dog greeting patients at the door.

He is even more proud to say that despite increasing medical costs, rising malpractice insurance rates and other financial pressures, his patients still count on him to keep their childrens' medical bills down while providing services in the most convenient possible manner.

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