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Contact Information

BEACON PEDIATRICS LLC
600 LONGWATER DR FL 2
NORWELL, MA02061-1639
 Phone: 781-745-3322
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BEACON PEDIATRICS LLC

NPI Number 1962186049
LBN Legal business name BEACON PEDIATRICS LLC
Authorized official GINA BOUTWELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2023
Last updated 12/05/2023 - About 2 years ago
Identifiers n/a
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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