NPI: 1427346568
Provider Name: BEACON GROUPS HEALTHCARE,LLC
Doing Business As: BEACON GROUPS HEALTHCARE,LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization
Specialization: Adult Medicine
Address:
177 TREMONT ST
SUITE 5
BOSTON, MA
ZIP 02111
Phone: (617) 417-9622
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BEACON GROUPS HEALTHCARE,LLC is an adult medicine family medicine in Boston, MA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. BEACON GROUPS HEALTHCARE,LLC NPI is 1427346568. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beacon Groups Healthcare,llc.
The provider's business location address is:
177 TREMONT ST
SUITE 5
BOSTON, MA
ZIP 02111-020
Phone: (617) 417-9622
Fax: (617) 553-1976
The provider's authorized official is Nicole Louise Touchet .
The authorized official title is Family Practice and has the following contact phone number (617) 417-9622.
The enumeration date for this NPI number is 7/11/2011 and was last updated on 7/11/2011.