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)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