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Provider Information for 1881707479

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. RONALD E BECKER MD

Gender: MALE

Individual NPI: 1881707479

Calendar   Last Updated:  2016-02-16
  Certification Date: 

Details

Name Value
NPI 1881707479
Enumeration Date 2006-08-16
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE FEGAN 10
BOSTON, MA 02115-5724
United States

Phone: 617-355-6000 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE FEGAN 10
BOSTON, MA 02115-5724
United States

Phone: 617-355-6000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID MA 3178200
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0006X - Pediatrics Developmental - Behavioral Pediatrics MA 81035
No 208000000X - Pediatrics MA 81035