Bethany West

NPI 1265711501 - Physician Assistant - 363A00000X

NPI Details
NPI 1265711501
Gender Female
Enumeration Date 08/04/2011
Last Updated 08/04/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
158 HICKORY DR
RAYNHAM MA, 02767-1860, US
Phone (508) 813-2342
Fax
Business Location
158 HICKORY DR
RAYNHAM MA, 02767-1860, US
Phone (508) 813-2342
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 014963
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According to our database, Bethany West NPI is 1265711501, taxonomy code is 363A00000X and license number is 014963, license state is located at New York. Bethany West physically located at 158 Hickory Dr, Raynham MA, 02767-1860. NPI Number Bethany West has the Individual type.

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1265711501 NPI number is provided on an as is basis without warranty of any kind. 1265711501 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany West are for informational purposes only.