Healthcare Provider Details

I. General information

NPI: 1558382184
Provider Name (Legal Business Name): BEACON FAMILY MEDICINE, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 COUNTY RD
IPSWICH MA
01938-2585
US

IV. Provider business mailing address

130 COUNTY RD
IPSWICH MA
01938-2585
US

V. Phone/Fax

Practice location:
  • Phone: 978-356-1192
  • Fax: 978-356-9943
Mailing address:
  • Phone: 978-356-1192
  • Fax: 978-356-9943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. CURTIS P ERSING
Title or Position: PARTNER
Credential:
Phone: 978-356-1192