Individual
JASON BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 632-8252
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 632-8252
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
274157
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03580985
—
NY
Enumeration date
05/12/2010
Last updated
05/26/2022
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