Individual
BETH A BOUTHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8430
(781) 744-5397
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8430
(781) 744-5397
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
152147
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3168018
—
MA
Enumeration date
11/29/2006
Last updated
10/21/2010
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