Beverly Pediatric Assoicates

LBN: Beverly Pediatric Assoicates
Beverly Pediatric Assoicates is an health care organization with primary practice located at 75 Herrick St Suite 116, Beverly MA 01915. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Beverly Pediatric Assoicates can be contacted via phone (978) 922-3208, or through Dorsey, William R via phone (978) 922-3208.

Contact Information

Primary practice address
75 Herrick St Suite 116 Beverly MA 01915
Phone: (978) 922-3208
Fax: (978) 927-7429
Website:
Map and Directions
Authorized official contact:
Name: Dorsey, William R Doctor of Medicine (MD)
Phone: (978) 922-3208

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23184 Massachusetts

Profile Details

NPI number 1912031568
LBN Legal business name Beverly Pediatric Assoicates
DBA Doing business as
Authorized official Dorsey, William R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912031568 NPPES
Massachusetts MEDICAID 9779906

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