Individual
SUSAN A BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0660
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8239
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155926
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015200
NEIGHBORHOOD HEALTH
MA
01
—
155926
TUFTS
MA
05
—
3192466
—
MA
01
—
3470089-007
CIGNA
MA
01
—
J19970
BLUE CROSS
MA
01
—
PP851
HARVARD PILGRIM
MA
Enumeration date
12/15/2005
Last updated
02/07/2012
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