Joseph R Betancourt MD

NPI 1073504536 - Internal Medicine - 207R00000X

NPI Details
NPI 1073504536
Gender Male
Enumeration Date 11/03/2005
Last Updated 07/25/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
15 PARKMAN ST
INTERNAL MEDICINE ASSOCIATES TEAM 1
BOSTON MA, 02114-3117, US
Phone (617) 726-0909
Fax (617) 724-3843
Business Location
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0909
Fax (617) 724-3843
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 208248
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According to our database, Dr. Joseph R Betancourt MD NPI is 1073504536, taxonomy code is 207R00000X and license number is 208248, license state is located at Massachusetts. Joseph R Betancourt MD physically located at 15 Parkman St, Boston MA, 02114-3117. NPI Number Joseph R Betancourt MD has the Individual type.

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1073504536 NPI number is provided on an as is basis without warranty of any kind. 1073504536 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph R Betancourt MD are for informational purposes only.