Organization
BEACON PRIMARY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN STANTON MAYFIELD M.D. (PRESIDENT)
(617) 794-1463
Entity
Organization
Contact information
Practice address
1755 BEACON ST, BROOKLINE, MA 02445-5349
(617) 794-1463
Mailing address
1755 BEACON ST, BROOKLINE, MA 02445-5349
(617) 794-1463
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
78250
MA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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