Beverly Center, P.c. | |
100 Cummings Center Beverly MA 01915-6113 | |
(978) 922-6613 | |
(978) 921-1094 |
Full Name | Beverly Center, P.c. |
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Speciality | Psychologist |
Location | 100 Cummings Center, Beverly, Massachusetts |
Authorized Official Name and Position | George Ivan Beilin (PRESIDENT) |
Authorized Official Contact | 9789226613 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beverly Center, P.c. 100 Cummings Ctr Beverly MA 01915-6113 Ph: (978) 922-6613 | Beverly Center, P.c. 100 Cummings Center Beverly MA 01915-6113 Ph: (978) 922-6613 |
NPI Number | 1275509663 |
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Provider Enumeration Date | 02/24/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2062326648 |
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Medicare Enrollment ID | O20031118000318 |
Identifier | Type | State | Issuer |
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1275509663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC2200X | Psychologist - Clinical Child & Adolescent | (Massachusetts) | Primary |
Provider Name | George I Beilin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1043286669 PECOS PAC ID: 8022922616 Enrollment ID: I20081231000016 |
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