Individual
MR. BRIAN JAMES BEAUVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
265 BENTON DR., SUITE 106, EAST LONGMEADOW, MA 01028
(413) 512-5111
(413) 512-5112
Mailing address
265 BENTON DR., SUITE 106, EAST LONGMEADOW, MA 01028
(413) 512-5111
(413) 512-5112
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
PA5873
MA
363A00000X
Physician Assistant
003659
CT
363A00000X
Physician Assistant
PA5873
MA
Other
Enumeration date
10/05/2016
Last updated
12/16/2025
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