Individual
LAURENCE BEAULIEU-GENEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FRCPC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7796
Mailing address
160 COMMONWEALTH AVE APT 204, BOSTON, MA 02116-2736
(617) 866-5983
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
263162
MA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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