person
Leticia Maria Beirao Costa Silva Souza, MD
Diagnostic Radiology Physician in Beverly, Massachusetts
NPI 1679878474

Leticia Maria Beirao Costa Silva Souza is a Diagnostic Radiology Physician based in Beverly, MA and is specialized in Diagnostic Radiology. Leticia Maria Beirao Costa Silva Souza practices in Beverly, MA and has the professional credentials of MD. The NPI Number for Leticia Maria Beirao Costa Silva Souza is 1679878474 and holds a License No. 258345 (Massachusetts).

The current practice location address for Leticia Maria Beirao Costa Silva Souza is 85 Herrick St, Beverly, MA and can be reached out via phone at 978-816-2380 and via fax at 978-921-7011. You can also correspond with Leticia Maria Beirao Costa Silva Souza through the mailing address at 85 HERRICK ST, BEVERLY, MA - 01915-1790 (mailing address contact number: 978-816-2380).

Location: 85 Herrick St, Beverly, MA, 01915-1790
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Provider Profile Details
NPI Number
1679878474
Provider Name
Leticia Maria Beirao Costa Silva Souza
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
85 Herrick St, Beverly, MA, 01915-1790
Phone Number
978-816-2380
Fax Number
978-921-7011
Provider Enumeration Date
01/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110104362A 05 MA
13558942 01 CAQH
institution
Provider Business Practice Location Address Details
Address
85 Herrick St
City
State
Zip
01915-1790
Phone Number
978-816-2380
Fax Number
978-921-7011
person
Provider Business Mailing Address Details
Address
85 Herrick St
City
State
Zip
01915-1790
Phone Number
978-816-2380
Fax Number
978-921-7011
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
258345 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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