Individual
MICHELLE J. BEAUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 COMPASS WAY, SUITE 200, EAST BRIDGEWATER, MA 02333-1465
(508) 350-2300
(508) 350-2307
Mailing address
362 BEDFORD STREET, EAST BRIDGEWATER, MA 02333-1465
(508) 350-2350
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216381
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103384
UHC
—
05
—
2005808
—
MA
01
—
216381
TUFTS
MA
01
—
6102254001
CIGNA
MA
01
—
714257
HPHC
MA
01
—
A3514801
MEDICARE PTAN
MA
01
—
J25977
MABC
MA
Enumeration date
08/12/2006
Last updated
03/07/2016
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