Individual
THOMAS LEARY BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 WASHINGTON ST, SUITE 764, NEWTON, MA 02462-1628
(617) 965-7800
(617) 965-4581
Mailing address
2000 WASHINGTON ST, SUITE 764, NEWTON, MA 02462-1628
(617) 965-7800
(617) 965-4581
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49875
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017072
NEIGHBORHOOD HEALTH
—
01
—
043200332
STANDARD TAX ID
—
01
—
049875
TUFTS HEALTH PLAN
MA
01
—
0700798
UNITED HEALTHCARE
—
01
—
13608
HPHC
—
01
—
164341
HEALTHY START
—
01
—
2239716
AETNA
—
05
—
3188795
—
MA
01
—
B20233801
CIGNA
—
01
—
J04394
BCBS
MA
01
—
S023506
CHAMPUS
—
Enumeration date
12/06/2005
Last updated
12/30/2013
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