Beacon Primary Medicine, INC.
Internal Medicine in Lawrence, Massachusetts
1790057404- Practice location
- 50 Prospect St, Lawrence, MA 01841-2841
- Phone
- 617-794-1463
- Fax
- 617-739-1963
- Last updated
- January 27, 2012
Beacon Primary Medicine, INC. is a healthcare organization based in Lawrence, MA. Beacon Primary Medicine, INC. practices in Lawrence, MA. The NPI Number for Beacon Primary Medicine, INC. is 1790057404 and holds a License No. 78290 (MA). The current practice location address for Beacon Primary Medicine, INC. is 50 Prospect St, Lawrence, MA 01841-2841 and can be reached out via phone at 617-794-1463 and via fax at 617-739-1963.
Provider Profile Details
- NPI Number
- 1790057404
- Provider Name
- Beacon Primary Medicine, INC.
- Provider Entity Type
- Organization
- Address
- 50 Prospect St, Lawrence, MA 01841-2841
- Phone Number
- 617-794-1463
- Fax Number
- 617-739-1963
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Robin Stanton Mayfield, MD · President · 617-794-1463
- Provider Enumeration Date
- January 27, 2012
- Last Update Date
- January 27, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Prospect St
Lawrence, MA 01841-2841 - City
- Lawrence
- State
- Massachusetts
- Zip
- 01841-2841
- Phone Number
- 617-794-1463
- Fax Number
- 617-739-1963
Provider Business Mailing Address Details
- Address
- 50 Prospect St
Lawrence, MA 01841-2841 - City
- Lawrence
- State
- MA
- Zip
- 01841-2841
- Phone Number
- 617-794-1463
- Fax Number
- 617-739-1963
License Information
- License Number (1)
- 78290
- License State (1)
- MA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 78290
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Beacon Primary Medicine, INC.?
The NPI number of Beacon Primary Medicine, INC. is 1790057404. It was assigned on January 27, 2012 and is currently active in the NPPES registry.
What is the specialty of Beacon Primary Medicine, INC.?
Beacon Primary Medicine, INC. is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 78290.
Where does Beacon Primary Medicine, INC. practice?
The practice location is 50 Prospect St, Lawrence, MA 01841-2841. The office can be reached at 617-794-1463 (phone) or 617-739-1963 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790057404 directly on the NPPES registry website.