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Individual
STEPHEN BEAUDOIN
Active
Individual
STEPHEN BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70450
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-08373
EVERCARE
—
01
—
070450
TUFTS HEALTH PLAN
MA
05
—
110049133A
—
MA
01
—
110214704
RAILROAD MEDICARE
—
01
—
1902808124
AETNA - HMO
—
01
—
2876947
CIGNA
—
01
—
30005433
NEW HAMPSHIRE MEDICAID
NH
01
—
5305442
AETNA - NON-HMO
—
01
—
60722
HARVARD PILGRIM HEALTHCAR
MA
01
—
73374
HEALTHSOURCE
—
01
—
974551
NETWORK HEALTH
—
01
—
E71908
ANTHEM BLUE CROSS
NH
01
—
J10622
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/01/2005
Last updated
05/27/2011
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