Individual
MR. ALEC BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
45 DAN RD, CANTON, MA 02021-2852
(781) 867-2050
Mailing address
45 DAN RD, CANTON, MA 02021-2852
(781) 867-2050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1525
NH
363A00000X
Physician Assistant
Primary
PA7132
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119149
—
NH
Enumeration date
07/02/2019
Last updated
04/02/2024
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