Individual
JOHN E BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 PARADISE RD, SUITE 2F, SWAMPSCOTT, MA 01907-1395
(781) 599-7802
Mailing address
990 PARADISE RD, SUITE 2F, SWAMPSCOTT, MA 01907-1395
(781) 599-7802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60663
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3049647
—
MA
Enumeration date
06/06/2006
Last updated
11/03/2014
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