Individual
DR. EUGENE VICTOR BERESIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SCHOOL ST, ACTON, MA 01720-3626
(617) 726-8471
Mailing address
80 SCHOOL ST, ACTON, MA 01720-3626
(617) 726-8471
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44217
MA
2084P0804X
Child & Adolescent Psychiatry Physician
44217
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044217
TUFTS HEALTH PLAN
MA
01
—
B33588
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
04/08/2024
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