Individual
DR. YVAN BEAUSSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-6464
(617) 632-6180
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-6464
(617) 632-6180
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
287143
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
287143
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2020
Last updated
03/06/2023
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