| Beverly Hospital | |
|
350 Revere Beach Blvd Revere MA 02151-4866 | |
| (781) 286-5619 | |
| Not Available |
| Full Name | Beverly Hospital |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 350 Revere Beach Blvd, Revere, Massachusetts |
| Authorized Official Name and Position | Alexander Lipin (PHYSICIAN) |
| Authorized Official Contact | 7812682200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Hospital 350 Revere Beach Blvrd Apt.# 9-10p Revere MA 02151-4866 Ph: (781) 286-5619 | Beverly Hospital 350 Revere Beach Blvd Revere MA 02151-4866 Ph: (781) 286-5619 |
| NPI Number | 1740261437 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740261437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 210779 (Massachusetts) | Primary |
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