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Individual
BEVERLY WEDDA
Active
Individual
BEVERLY WEDDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
156858
MA
207Q00000X
Family Medicine Physician
Primary
2015-01803
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106806
UNITED HEALTH CARE
MA
01
—
156858
TUFTS HEALTH PLAN
MA
01
—
4180068
CIGNA
MA
01
—
56020
FALLON
MA
01
—
714677
HARVARD PILGRIM
MA
01
—
J21423
BCBS OF MA
MA
Enumeration date
08/17/2006
Last updated
02/06/2016
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