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Individual

ROBERTA BEYROUTEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
119 BELMONT ST, MULTIPLE SCLEROSIS CENTER, WORCESTER, MA 01605-2903
(508) 793-6564
(508) 793-6554
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN129484
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0357669
MA
Enumeration date
07/14/2006
Last updated
03/01/2016
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