Individual
DR. BETH A OVERMOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 BINNEY ST, MAYER 220B, BOSTON, MA 02115-6013
(617) 632-3427
(617) 632-1930
Mailing address
44 BINNEY ST, MAYER 220B, BOSTON, MA 02115-6013
(617) 632-3427
(617) 632-1930
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
043266
CT
207RH0003X
Hematology & Oncology Physician
Primary
234514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043266
CT LICENSE
CT
01
—
37091
CT CONTROLLED SUBSTANCE
CT
Enumeration date
07/05/2006
Last updated
03/07/2023
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