Individual
GEORGE H BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 PROVIDENCE HWY, SUITE 202-203, DEDHAM, MA 02026-1881
(781) 326-7815
Mailing address
200 PROVIDENCE HWY, SUITE 202-203, DEDHAM, MA 02026-1881
(781) 326-7815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3065260
—
MA
01
—
J10173
BCBS
MA
Enumeration date
02/05/2007
Last updated
07/08/2007
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