Individual
KEITH A BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
930
MA
Other
Enumeration date
11/16/2006
Last updated
03/16/2021
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