Organization
BEVERLY PEDIATRIC ASSOICATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R DORSEY MD (OWNER MD)
(978) 922-3208
Entity
Organization
Contact information
Practice address
75 HERRICK ST, SUITE 116, BEVERLY, MA 01915
(978) 922-3208
(978) 927-7429
Mailing address
75 HERRICK ST, SUITE 116, BEVERLY, MA 01915
(978) 922-3208
(978) 927-7429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23184
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9779906
—
MA
Enumeration date
03/15/2007
Last updated
08/22/2020
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