# BEVERLY WEDDA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770696262
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 156858 | MA | — |
| 207Q00000X | Family Medicine Physician | 2015-01803 | NC | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 02/06/2016

## 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 |