Individual
JOSE ALBERTO BETANCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1524 TURNPIKE ST, STOUGHTON, MA 02072-6011
(781) 886-3020
(781) 886-3010
Mailing address
35 UNITED DR STE 102, WEST BRIDGEWATER, MA 02379-1056
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224239
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041132A
—
MA
Enumeration date
11/02/2005
Last updated
08/31/2022
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