Organization

Beacon Primary Medicine

Health Service Clinic/Center in Brookline, MA(View on Map)

Legal Business Name

Beacon Primary Medicine

NPI Number

1336458439

NPI Type

Organization

Enumeration Date

10/07/2010

Specialties

(Taxonomies)

Code

261QH0100X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

78250

Contact
Information

Purpose

Mailing
Location

Address

1755 BEACON ST
1755 BEACON ST

City

Brookline
Brookline

State

MA
MA

Postal Code

02445-5349
02445-5349

Country

US
US

Telephone Number

(617) 794-1463
(617) 794-1463

Authorized Official

Name

Dr. Robin Mayfield

Title or Position

PRESIDENT

Telephone Number

(617) 794-1463

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/07/2010

Provider Address

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