George H Beauregard DO

NPI 1396883880 - Internal Medicine - 207R00000X

NPI Details
NPI 1396883880
Gender Male
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 PROVIDENCE HWY
SUITE 202-203
DEDHAM MA, 02026-1881, US
Phone (781) 326-7815
Fax
Business Location
200 PROVIDENCE HWY
SUITE 202-203
DEDHAM MA, 02026-1881, US
Phone (781) 326-7815
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 71190
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According to our database, George H Beauregard DO NPI is 1396883880, taxonomy code is 207R00000X and license number is 71190, license state is located at Massachusetts. George H Beauregard DO physically located at 200 Providence Hwy, Dedham MA, 02026-1881. NPI Number George H Beauregard DO has the Individual type.

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1396883880 NPI number is provided on an as is basis without warranty of any kind. 1396883880 is maintained by the National Plan & Provider Enumeration System. The contents of George H Beauregard DO are for informational purposes only.