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Individual

AYSHE ANA BEESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-2527
(774) 644-2136
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
264760
MA
2084N0400X
Neurology Physician
Primary
264760
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110104946A
MA
Enumeration date
06/01/2010
Last updated
04/03/2023
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