Southwest Boston Internal Medicine Associates, Pc | |
200 Providence Hwy Suite 202-203 Dedham MA 02026-1881 | |
(781) 326-7815 | |
Not Available |
Full Name | Southwest Boston Internal Medicine Associates, Pc |
---|---|
Speciality | Internal Medicine |
Location | 200 Providence Hwy, Dedham, Massachusetts |
Authorized Official Name and Position | George H Beauregard (PRESIDENT) |
Authorized Official Contact | 7813267815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southwest Boston Internal Medicine Associates, Pc 200 Providence Hwy Suite 202-203 Dedham MA 02026-1881 Ph: (781) 326-7815 | Southwest Boston Internal Medicine Associates, Pc 200 Providence Hwy Suite 202-203 Dedham MA 02026-1881 Ph: (781) 326-7815 |
NPI Number | 1295873784 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 11/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295873784 | NPI | - | NPPES |
M17512 | Other | MA | BCBS |
3065260 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Jonathan M Lee Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Providence Hwy, Suite 202-203, Dedham, MA 02026 Phone: 781-326-1464 Fax: 781-326-9075 | |
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