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NPI Code Detail

MEDICARE: CHRISTOPHER I. BECHARA M.D.

MEDICARE: CHRISTOPHER I. BECHARA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician204955MA

General Provider Information

NPI Number : 1912978644
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER I. BECHARA M.D.
Provider Business Mailing Address
First Line : 136 HIGH STREET EXT
Second Line :
City : LANCASTER
State : MA
Zip : 01523-2056
Country : US
Telephone Number : 978-368-8956
Fax Number : 978-368-1058
Provider Business Practice Location Address
First Line : 136 HIGH STREET EXT
Second Line :
City : LANCASTER
State : MA
Zip : 01523-2056
Country : US
Telephone Number : 978-368-8956
Fax Number : 978-368-1058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 07/08/2010

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