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Contact Information

BEVERLY PEDIATRIC ASSOICATES
75 HERRICK ST
SUITE 116
BEVERLY, MA01915
 Phone: 978-922-3208
 Fax: 978-927-7429
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BEVERLY PEDIATRIC ASSOICATES

NPI # 1912031568
LBN Legal business name BEVERLY PEDIATRIC ASSOICATES
Authorized official WILLIAM DORSEY - (OWNER MD)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MA License # 23184
MA Medicaid 9779906
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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